Volume 41 | Numero 1 | FALL 2018

Guide to Practice 2018-2019

Available positions: pages 33 to 44 On October 5, 2018, rd the FMRQ held its 23 Some 900 medical residents came to talk with representatives from 100 or so establishments, facilities and clinics, and from the Fédération des médecins omnipraticiens du Québec (FMOQ), Fédération des médecins spécia- listes du Québec (FMSQ), and Ministry of Health

Table of contents

Quebec Career Day 2 Practice 19 – Regular Permit 19 President’s Message 4 – Moonlighting 20 – Certification Exams 20 Introduction 5 – Maintenance of Proficiency 21 – Remuneration and Billing 21 5 Family Medicine – Malpractice Insurance 22 – Obtaining a PREM in FM 6 – Incorporation 22 – Obtaining a PEM in FM in an Establishment 6 – Life, Health and Disability Insurance 23 – Opting to Perform Locums 7 – Automobile and Home Insurance 23 – Fellowships 7 – Financial Services 23 – Financial Incentives on Starting out in Practice 8 – Income Tax 23 In Other Specialties 10 – Post-residency Maternity, Paternity – Obtaining a PEM in an Establishment 10 and Adoption Leave 23 – Practising Exclusively in a Private Office 12 Information Sources 24 – Extensions of Training/Fellowships in Quebec 13 – Career in Research 14 Canadian Regulatory Authorities – Fellowships Outside Quebec 15 Distributing Medical Licences 25 – Financial Incentives on Entering Practice in Non-FM Specialties 17 Resources and Organizations Related to Medical Practice 27

List of DRMGs 28

List of DSPs 30

BOARD OF DIRECTORS STAFF Christopher Lemieux, President Johanne Carrier, Director, Communications and Public Affairs Christian Campagna, Secretary Audrey Laganière, Director, Legal Affairs Julien Dallaire, Treasurer Sylvain Schetagne, Director, Research and Sociopolitical Action Marie-Alexandra Campo, Vice-President (AMRM) Jocelyne Carrier, Co-ordinator, Academic Affairs – SP Daphnée Perron-Couture, Vice-President (ARM) Geneviève Coiteux, Co-ordinator, Academic Affairs – FM Jean-Philippe Blais, Vice-President (AMReQ) Marie-Anik Laplante, Co-ordinator, Union Affairs Eric Guimond, Vice-President (AMReS) Carolann Desautels, Assistant Maxime Cartier, Director, Union Affairs Liliane Francoeur, Assistant Xavier Tanguay-Rioux, Director, Academic Affairs - SP Louise Francoeur, Assistant Cassandre Latourelle-Théberge, Director, Academic Affairs – FM Emilie La Boissière, Assistant Patrice Savignac Dufour, Executive Director Vicki Portelance, Assistant Edyta Zaniewska, Assistant Johanne Carrier, Editor Triade Marketing, Graphic Design Return undeliverable Canadian addresses to: FMRQ – 510-630 rue Sherbrooke Ouest, , QC H3A 1E4 ISBN/ISSN: Canada Post Publication Agreement 1484699 Tel.: 514 282-0256 or 1 800 465-0215 www.fmrq.qc.ca – [email protected] – Annual subscription: $20 President’s Message

PEMs and PREMs: always a priority for the FMRQ

Dear Colleagues, On October 5, 2018, 900 of you took part in the FMRQ’s Quebec Career Day, medical residents’ yearly gathering that provides opportunities to talk with representatives from 100 or so Quebec healthcare facilities. I trust you found the information and made the contacts there that you were looking for in relation to your future practice. This year’s was the 23rd edition of Quebec Career Day, and provided further confirmation of the need for this annual event. Being able to meet with representatives of establishments from all “The FMRQ will continue Quebec regions in a single location, on the same day, is a unique opportunity, particularly ensuring a constant in view of the schedules we all have during residency. presence on the different In the wake of this discussion and information forum, we present to you today our Guide to Practice for 2018-2019. It contains information on all aspects associated with seeking committees and panels a position or confirming a fellowship, and on the transition to practice, remuneration, and more besides. As you already know, implementation of the new process proposed by the responsible for physician FMOQ and FMRQ and accepted last year by the MSSS, centralizing applications for resource planning and PREMs in FM, has had to be deferred until next year, but the Ministry has informed the regional directorates of general medicine (DRMGs) that they are not to accept any letters distribution in Quebec.” of recommendation from clinics within their geographical areas. The FMRQ is monitoring this issue very closely. Do feel free to get in touch with us if you witness or are a victim of “questionable” processes or attempts at bargaining to obtain a PREM. Also, physician resource plans (PEMs) in non-FM specialties, which are posted on the MSSS site, will not be expanded between now and 2020. The table will simply be up- dated regularly to reflect the allocation of PEMs. Any position added in an establishment during that period will have to be the subject of a waiver application by the establishment concerned. Note that we are also continuing our lobbying to ensure that position postings are altered to reflect the name of the facility (hospital) rather than merely the establishment, as the current model makes it harder for you to seek a position. Finally, the work to draw up PEMs for 2021-2025 should be starting during the coming year. In the meantime, the FMRQ will continue ensuring a constant presence on the different committees and panels responsible for physician resource planning and distribution in Quebec and lobbying on an ad-hoc basis in the event of changes or problems associated with this issue. In the next few months, I encourage you to follow the Federation’s activities with respect to physician resources: Outside Quebec Career Day, February 28, 2019; Symposium on PREMs in FM, May 3, 2019; and Presentation Tour for Physician Resources in Specialties Other Than FM. The FMRQ also offers an information service providing details on how to find a position. So please feel free to get in touch with us at any time if you would like further information or assistance in your transition to practice. In closing, I trust you enjoy this Bulletin, and, above all, I hope you find the position that fulfils yourexpectations.

Christopher Lemieux, MD, FRCPC

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Introduction Here is your Guide to Practice 2018-2019, which presents the latest rules and conditions for the search for positions or confirmation of fellowships in Quebec. We invite you to read this new edition closely, to learn about all the steps to be borne in mind in order to make the transition from residency to practice as smooth as possible. To make this guide easier to consult, we have grouped together information on family medicine and the other specialties in separate sections. If you have any questions, we will be pleased to answer them. To get in touch with us, simply call 514 282-0256 or 1 800 465-0215, or email [email protected] for information on family medicine, or [email protected] for further details on the rules to be followed in other specialties.

Family Medicine

IMPORTANT At the Symposium on PREMs in Family Medicine in May 2018, the FMRQ had presented, in conjunction with the Fédération des médecins omnipraticiens du Québec (FMOQ), the rules which had been agreed upon between the Ministry of Health and Social Services (MSSS) and the FMOQ concerning the new centralized procedure for receiving and managing PREM applications in family medicine. Unfortunately, the MSSS recently informed us that this formula would not be used for the 2019 PREMs, since it had not been possible to make the necessary changes within the required deadlines for the October-November 2018 application period. None the less, two new rules apply for the 2019 PREMs.

1) In order to eliminate any inequity and potential conflict of interest in the selection process, all regional departments of general medicine (DRMGs) will have to ignore any letter of support from a medical office or an establishment in compiling candidates’ files. Such letters may not be taken into consideration in the candidate selection process.

2) Also, in the event of a selection process, i.e., when there are more candidates than positions available in the PREM, (…) the DRMG must base its selection of all applicants on interviews, whether conducted in person or via other technological means. (Extract from the letter from the MSSS Assistant Deputy Minister to concerned health system partners).

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Obtaining a PREM in FM Obtaining a PEM in FM To practise in family medicine in Quebec, two procedures have to be in an establishment followed, carried out concurrently: OBTAINING A PEM IN FM • Obtain a compliance notice in one of the 18 regions of Quebec, with an undertaking to perform the main practice in a subarea (RLS); Vis-à-vis the establishment To seek a notice of appointment in an establishment, you must: • If you wish to work in an establishment, obtain the support of an establishment. • Send your appointment application form to the director of professional services of the establishment; • If you wish to work in an office, in a clinic, identify a team you would like to work with. • You will receive a letter from the DSP confirming the status of the establishment’s PEM; Position applications must be made to the regional department(s) • Your application will be reviewed by the Executive Committee of general medicine (DRMG(s)) which you have identified for your of the CPDP; practice, between October 15 and November 15 of each year. Your • The Credentials Review Committee will study your file and report approach to obtain a position in an establishment may be carried out to the Executive Committee; ahead of time, so you can demonstrate your interest to the DRMG. • The Executive Committee will make a positive or negative Note that you will be given your PREM compliance notice, within an RLS, recommendation to the establishment’s Board of Directors by the Head of the DRMG. You will have to choose one or more of the concerning your application; special medical activities (activités médicales particulières, or AMPs) • The Board of Directors will accept (or deny) your application, available within the network covered by the DRMG. Currently, subject to approval from the DRMG; the following AMPs are offered: • The DSP/DRMG will submit a waiver application to the Management 1. Emergency committee for physician resources (COGEM) in general practice, 2. Patient management which will review whether or not the need is real; 3. Residential and long-term care facility (CHSLD) • The COGEM will then make a recommendation to the Minister 4. Walk-in consultations, in line with the priority needs of Health and Social Services, who will ratify, or refuse to ratify, of the region and RLS the recommendation; • The DRMG will send you its response directly. Note that you have three months from your f irst What the DRMGs Want to Know day of practice to sign on to this agreement. • Your professional interests • Where you intend to set up practice in future (establishment/subarea) See elsewhere in the Bulletin for further details on this subject. Also, the • The clinical/professional activities you prefer to perform in your practice application for a PEM in an establishment will have to be made to the • The status of your approach to an establishment and/or private parity committee made up of the Fédération des médecins omnipraticiens office (involved here is not demonstrating your interest for one du Québec (FMOQ) and the Quebec Ministry of Health and Social clinic specifically, but rather demonstrating your interest for patient Services (MSSS). management through the steps you take to visit clinics)

In view of the limited number of positions in certain regions, we suggest If You Practise Without a PREM that you apply for compliance notices to more than one region or RLS. A list (in the public system, and not in private practice) of DRMGs and their representatives is provided at the end of this Bulletin. • Your overall pay will be cut by 30% for any medical act performed in your practice; • You will have to wait five years before being allowed to apply for a compliance notice in that region; • Also, if you obtain a compliance notice in another region and work there for three years, you will be able to ask subsequently for a position in the region where you have practised without a PREM. 6 | LE BULLETIN Guide to Practice 2018-2019

Opting to Perform Locums Medical residents wishing to practise on locums (PREM Exclusively on Locums and Part-time Locum) during residency Medical residents holding a permit to practise from the Collège des Physicians wishing to perform locums exclusively médecins du Québec may be authorized to perform moonlighting without Physicians wishing to practise exclusively under the locum mechanism can holding a compliance notice from a region or a waiver in lieu of a com- obtain a waiver in lieu of a compliance notice if places are available. They must pliance notice. They then have to apply for this when they register with apply for it when they register for locums. The number of doctors exclusively on the CNMQ. Such an authorization is valid for as long as the physician locums is limited each quarter. To register for locums, physicians must hold a is registered in a postgraduate medical education program. During that permit to practise from the Collège des médecins du Québec and have proof of time, however, the physician does not accumulate practice days. At the malpractice insurance corresponding to the sectors of activity covered by their end of that period, he has to obtain a PREM compliance notice as a locum practice. A practice is deemed exclusive when it includes 95% or more “new biller” and sign on to the Special agreement concerning specific of the physicians’ total billing days. medical activities (Entente particulière relative aux activités médicales Registration period particulières). Quarter 01 (March, April, May): from February 22 Physicians can register with the locum mechanism Quarter 02 (June, July, August): from May 25 through the CNMQ. For further information, Quarter 03 (September, October, November): from August 25 consult the following (French only) sites: Quarter 04 (December, January, February): from November 24 Site: http://www.msss.gouv.qc.ca/professionnels/medecine-au-quebec/ depannage-ou-remplacement/ *** CAUTION *** Registration form: https://h38.pub.msss.rtss.qc.ca/public/ H38InscriptionMedecin.asp?m=Ins&s=Med In April 2018, the MSSS lifted the quarterly registration quotas for physicians conducting locums exclusively, and this measure was still in effect at press time. If Fellowships you would like to obtain a PREM to perform locums Emergency Medicine (3rd year) exclusively in order to have a practice comprising 95% (via CaRMS) locums, all you have to do, for the moment, is complete To obtain a residency position (R3 in family medicine) in Quebec with the registration form on the provincial Centre national a view to performing further training in Emergency Medicine following Médecins-Québec (CNMQ) site. To do so, you must certification in Family Medicine, you must apply using a special form have your permit to practise number and appropriate available on the medical faculty sites. You must also submit an applica- malpractice insurance coverage. tion on the Canadian Resident Matching Service (CaRMS) platform. In For the links, see the end of this section. view of the fact that CaRMS responses are not sent to terminating residents until late December—after the PREM application period If performing locums interest you, you may contact us (October 15 – November 15)—we encourage you to make a PREM at the FMRQ. application anyway, in case you do not obtain your position. Should you receive two favourable responses, you will be able to withdraw Doctors wishing to practise part-time on locums from your PREM. Doctors wishing to practise part-time under the locum mechanism may register via the provincial Centre national Médecins-Québec (CNMQ). There is no limit on the number of doctors on part-time locums. But physicians must ensure that they hold a PREM in a region where they will be carrying out at least 55% of their practice in terms of billing days. Locums must therefore not exceed 45% of their practice. Note that any practice carried out in another local services network (RLS) than where the physicians hold their PREMs or in another region will also be calculated within this 45%.

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Clinical Scholar Program Financial Incentives on Starting (via Faculty) Out in Practice/Establishment and In order to apply for a clinical scholar position, you must complete the Maintenance (Retention) Bonuses extension of training application form available from your faculty, sign it, and obtain the signature of the program director concerned. Your and Premiums in Family Medicine document must be emailed to the faculty. An original must also be In isolated or designated regions forwarded to the Office of your Associate Dean, so it can be submitted Family physicians setting up in one of the isolated or designated regions to the Conference of Associate Deans (CVDFM) for analysis and decision. receive higher pay, as well as premiums for call duty at home and The candidate and the program director are notified by email once the professional development. In isolated regions, remote area bonuses, application is approved by the CVDFM. The program prepares future home leave bonuses (with or without dependants), and food and family physicians for a university career and to take on a leadership role transportation bonuses are allocated. Establishment and maintenance in developing the discipline of family medicine through their scholarship premiums are also given by the region. Premiums vary depending on the and research activities. Requirements may vary slightly from one faculty isolated sector in question. A table illustrating pay in an establishment to another. Only medical residents having completed their residency in and in an office is presented below. a program accredited by the College of Family Physicians of Canada are eligible for this program. For further information, consult the site of each HIGHER PAY FOR GENERAL PRACTITIONERS medical school that offers the program. BY PRACTICE AREA Training offered by the faculties includes the following : 1st year 4th year 7th year 20th year • Clinical Scholar % % % % • Emergency Medicine Group Establishment 130 135 135 140 • Mother/Child Care 1 Office 120 125 125 125 • Drug Addiction Group Establishment 135 140 140 140 • Palliative Care 2 Office 120 125 125 125 • Care of the Elderly Group Establishment 130 130 130 130 3 Application deadline: February 1, 2019 Office 120 120 120 120 Group Establishment 120 120 120 125 Extensions of training 4 Office 115 115 115 115 Some 30 positions are available for extensions of training for six months Establishment 120 125 130 130 or less in the following specialties: Mother/Child Care, Perinatal Care, Group 5 Maternity Care, and Women’s Health (advanced competency Office 105 105 105 105 or extension of training). Group Establishment 115 115 115 115 6 Office 105 105 105 105

For more information, conduct a Web search of “Carte de la rému- nération différente des omnipraticiens” (map of differential pay for general practitioners). You can also consult the Ministry of Health and Social Services site at www.msss.gouv.qc.ca/statistiques/atlas/docs/ consom/CarteOmnipraticiens.pdf, or get in touch with the Ministry’s Physician resource branch (Direction de la main-d’œuvre médicale) at 418 266-8868 or 1 888 708-0393.

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Rémunération différente des médecins omnipraticiens No Région 1re année 4e année 7e année 20e année • Ivujivik ✈ 01 Bas-Saint-Laurent • Salluit ✈ Groupe 1 Établissement 130 135 135 140 • Umiujaq 02 Saguenay–Lac-Saint-Jean Cabinet 120 125 125 125 ✈ • Kangiqsujuaq 03 Québec Groupe 2 Établissement 135 140 140 140 • ✈ • Quaqtaq ✈ 04 Mauricie–Centre-du-Québec Cabinet 120 125 125 125 Groupe 3 Établissement 130 130 130 130 • Puvirnituq ✈ BAIE D'UNGAVA 05 Estrie Carte de la rémunération différente ✈ Cabinet 120 120 120 120 • Kangirsuk 06 Montréal-Centre Groupe 4 Établissement 120 120 120 125 des médecins omnipraticiens • Aupaluk ✈ 07 Outaouais Cabinet 115 115 115 115 ✈ • Inukjuak • Tasiujaq ✈ 08 Abitibi-Témiscamingue Groupe 5 Établissement 120 125 130 130 • Kangiqsualujjuaq ✈ Région éloignée ou isolée Cabinet 105 105 105 105 • ✈ 09 Côte-Nord Groupe 6 Établissement 115 115 115 115 10 Nord-du-Québec 17 Cabinet 105 105 105 105 11 Gaspésie–Îles-de-la-Madeleine BAIE D'HUDSON • Umiujaq Note : Les majorations en « établissement » s’appliquent pour les services dispensés dans un centre hospitalier, 12 Chaudière-Appalaches dans un centre de réadaptation, dans un centre d’hébergement et de soins de longue durée ou dans un CLSC du réseau de garde intégré lorsque le médecin participe à la garde. • Kuujjuarapik ✈ 13 Laval Les majorations en « cabinet » s’appliquent pour les services dispensés en cabinet, à domicile ou dans un • Whapmagoostui ✈ CLSC hors du réseau de garde intégré lorsque le médecin ne participe pas à la garde. ✈ 14 Lanaudière • Poste-de-la-Baleine La rémunération de base est de 100 % (zone beige sur la carte). 15 Laurentides Quelques établissements ont cependant une rémunération majorée à 105 % ou 115 % dans d’autres régions du Québec : • Schefferville ✈ Québec, Mauricie et Centre-du-Québec, Estrie, Chaudière-Appalaches, Saguenay-Lac-Saint-Jean, Montérégie. • Baie-James ✈ ✈ 16 Montérégie Le médecin omnipraticien reçoit 105 % pour les services dispensés à l’urgence de certains CLSC du réseau de garde BAIE-JAMES • 17 intégré des régions de la Mauricie et du Centre-du-Québec, de l’Outaouais, de Chaudière-Appalaches et de Lanaudière. • Wemindji ✈ 10 Cette carte de rémunération est présentée à titre illustratif seulement. Il faut se référer à l’annexe 19 09 18 Terres-cries-de-la-Baie-James de l’Accord-cadre pour les données officielles. • Fermont ✈ • Eastmain ✈

• Waskaganish ✈ • Waskaganish ✈

• Blanc Sablon • Vieux-Fort• Rivière Saint-P ✈ 09 aul ✈ • Saint-A • Mistissini e e ugustin rr rr (Baie-du-Poste) e Jean z ✈ nn • La Tabatière nam o 10 ✈ -T • Baie-des-M hé Saint- ✈ e Saint-Pie an-Beet ent 51 parallèle les e-au re h ar • Tête-à-la-Ba liot r è an o uan out iè i g J q ons Ma iv avre h aine • Aylmer-Sound • R Riv m leine Min H guanish aska • Sept-Î • • • • Baie- A g • Harrington-Harbour • Pointe-Patas é a Ro • • ✈ • • N K L • • • • Chev • Waswanipi ery ✈ • Chapais 02 • Port-Cartier • Port-Menier ✈

• Lebel-sur-Quévillon Groupes de rémunération ✈ ÎLE D'ANTICOSTI • La Sarre Le médecin omnipraticien reçoit une rémunération majorée selon le taux applicable • Mistassini • Baie-Comeau ✈ • Macamic • Mont-Louis au groupe auquel appartient la région. • Amos • Dolbeau • Betsiamites • Grande-Vallée • Sainte-Anne-des-Monts • Rivière-au-Renard Ces territoires sont désignés aux fins de rémunération de la façon suivante : • Murdochville • Senneterre • Forestville ✈ • Matane • Gaspé GROUPE 1 • Rouyn-Noranda ✈ • • Les Escoumins • Malartic ✈ • Mont-Joli ✈ Secteurs isolés I et II à l’exception de Chibougamau et du territoire de la Côte-Nord • • • • Anse Saint-Jean • • Amqui 11 ✈ • • Rimouski à l’Est de la Rivière Moisie jusqu’à Havre Saint-Pierre inclusivement. • Val-d'Or ✈ • Clova Saint-Félicien • ✈ Tadoussac Roberval • Causapscal • Chandler Secteurs isolés III, IV et V à l’exception des régions 17 et 18 et du territoire de la Alma • • Parent Jonquière La Baie • Trois-Pistoles Côte-Nord à l’Est de Havre Saint-Pierre. 08 Métabetchouan • Paspébiac Chicoutimi • Maria ✈ 01 • Matapédia ÎLES-DE-LA-MADELEINE Territoires désignés autres que les secteurs isolés à l’exception des secteurs géographiques • Casey d’Alma et de Rimouski et des MRC de Kamouraska, de Rivière-du-Loup et d’Antoine-Labelle • Sanmaur • Rivière-du-Loup • Ville-Marie La Malbaie • Cabano excluant les municipalités de Saint-Cyprien, Saint-Hubert, Saint-François-Xavier- La Tuque • • Saint-Pascal de-Viger et Saint-Paul-de-la-Croix. Baie • • Notre-Dame du Lac Saint-Paul • Cap-aux-Meules ✈ 03 • • Pohénégamook GROUPE 2 c ✈ • La Pocatière 04 ébe Secteur isolé I : Chibougamau et le territoire de la Côte-Nord à l’Est de la Rivière Moisie • Témiscaming • Qu jusqu’à Havre Saint-Pierre inclusivement. Mont-Laurier • Montmagny • Lévis L'Annonciation GROUPE 3 • Shawinigan 12 Secteurs isolés III, IV et V des régions 17 et 18 et territoire de la Côte-Nord à l’Est Maniwaki • 14 de Havre Saint-Pierre jusqu’à la limite du Labrador y compris l’Île d’Anticosti. 15 • Trois-Rivières ✈ Chapeau • Gracefield • GROUPE 4 04 07 Saint-André-Avellin Joliette • • Saint-Georges Secteurs géographiques d’Alma et de Rimouski. Fort Coulonge • • Low • • Arthabaska • Buckingham Saint-Jérôme • Sorel • Wakefield • Drummondville GROUPE 5 Shawville • • Gatineau Municipalité régionale de comté d’Antoine-Labelle. Aylmer • • Laval • Hull ✈ ✈ • Montréal GROUPE 6 Légende • Granby • Saint-Jean • Sherbrooke MRC de Kamouraska et de Rivière-du-Loup excluant les municipalités de Saint-Cyprien, ✈ Aéroport Saint-Hubert, Saint-François-Xavier-de-Viger et Saint-Paul-de-la-Croix. Traversier 16

Isolated Regions

SECTOR I SECTOR II SECTOR III SECTOR IV SECTOR V

Chibougamau Fermont Nord du 51e degré de Wemindji Tasiujak Chapais Territoire de la Côte-Nord, latitude incluant : Mistissini, Eastmain Ivujivik Kuujjuak, Kuujjuarapik, Matagami situé à l’est de la Rivière Waskagheganish Kangigsualuajjiuaq Moisie Whapmagoostui, Chisasibi, Joutel et s’étendant jusqu’à Havre Baie-James, Schefferville, Nemiscau Aupaluk Lebel-sur-Quévillon Saint-Pierre inclusivement Kawawachikamach et Inukjuak Quaqtaq Waswanipi à l’exception Témiscaming Îles-de-la-Madeleine de Fermont et des localités Puvirnituk Akulivik Ville-Marie spécifiées aux secteurs IV Umiujaq Kangigsujuaq et V Kangirsuk Parent Salluit Sanmaur Tarpangajuk Clova Territoire de la Côte-Nord, s’étendant à l’est de Havre Saint-Pierre, jusqu’à la lim- ite du Labrador, y compris l’Île d’Anticosti

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In other specialties Obtaining a PEM in an Establishment • If the MSSS agrees, it issues and forwards to the establishment Having a position in an establishment’s physician resource plan (PEM) a notice of compliance with the establishment’s PEM; is a prerequisite for delivering care there. Doctors may obtain privileges • The establishment (integrated health and social services centre in more than one establishment, but they will be counted only in the [CISSS], integrated university health and social services centre PEM of the establishment where they perform most of their practice [CIUSSS], institute, etc.) must, as early as possible or within (75%). They may also obtain associate member privileges in the another 90 days following receipt of an application for privileges, establishment’s PEM for up to 25% of their practice. Positions in esta- send the applicant a written decision setting out his privileges; blishments’ PEMs are announced in October each year, in the context • The reasons for any refusal must be given in writing; of the FMRQ’s Quebec Career Day. Some positions currently remain • The physician must confirm his decision and acceptance of his available in the physician resource plan for 2019 and 2020. These are conditions of appointment in writing within 60 days following the posted on the Ministry site under Plans régionaux d’effectifs médicaux/ notification date in order for his privileges to be validated. pour la médecine spécialisée/postes disponibles at http://www.msss.gouv.qc.ca/professionnels/documents/prem/ medecine-specialisee/toutes_specialites_2018-10-01.pdf IMPORTANT Positions on the MSSS table are now posted by establishment rather than Send your application to the establishment’s facility (hospital), and this complicates terminating residents’ search for Director of Professional Services (DSP) a position. Also, note that it is possible for the establishment to impose Since the adoption of Bill 10, Quebec has had 34 health care on you the obligation of practising in two of its facilities, on the basis of establishments plus a few independent institutes or university needs identified in the different regions covered by the establishment. health centres. These establishments bring together the 182 healthcare facilities that existed prior to the merger. If you Note that the 2018-2020 plan presented last year will not be modified are seeking a position in a facility (e.g., Gatineau Hospital), this year, nor until its expiry in 2020. Establishments which consider that they have needs exceeding the number of positions allocated to them you must forward your appointment notice application to will have to make a waiver application to add a position to their PEMs. the Director of Professional Services (DSP) of that facility’s Medical residents may not make such an application. The rules concer- umbrella establishment (i.e., the Outaouais integrated health ning waiver applications are available on the FMRQ site, in the Specialty and social services centre, or CISSS). A copy can also be sent to Physician Resource Handbook. the director/head of the department and the facility’s deputy DSP. Meeting with the department head definitely lends greater weight to your approach, and, if you can arrange it, a rotation Process in the setting will help you demonstrate your knowledge • Get in touch with the head of department or the deputy director and get to know the team on-site, and may weigh heavily or director of professional services (DSP); in your favour. • When you have made your choice, send the Director of Professional Services of the establishment concerned the appointment notice application form (available at the office of the DSP or on the For positions in university settings, candidates will have to perform fellowships RAMQ site); of 3-12 months’ duration. Fellowships of less than 6 months in length • The application will then be evaluated by the Credentials Review do not require approval from the MSSS. A second year is possible, but Committee, which makes a positive or negative recommendation must be justified to the Ministry by the establishment. Note that medical concerning your application to the Council of Physicians, Dentists faculties sometimes require a minimum of one year of fellowship to grant and Pharmacists (CPDP), which follows the same procedure with respect to the establishment’s Board of Directors; these positions, owing to the teaching duties associated with them. • If your application is accepted, the establishment’s Board submits A number of non-university establishments may also require a fellowship an application for this position to the Ministry of Health and Social to fill a specific need that will meet the requirements of the population Services (MSSS) to obtain confirmation that this appointment is in in their territory. For further information on fellowships, consult compliance with the establishment’s physician resource plan (PEM); the section on page 13.

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To start out in practice, you must have at least: IMPORTANT • Your specialist certification These positions cannot be based on a single individual, • Confirmation of your participation and have to demonstrate a commitment from the esta- in an ALDO-Quebec information session blishments’ medical teams and administrations to fulfil • Your permit to practise number and registration the associated undertakings (service corridors). on the membership roll of the Order (have paid your yearly subscription) Research Scientist Positions • Your proof of malpractice insurance There are certain situations where a physician may be hired outside the PREM. It is, however necessary for the candidate to obtain a PEM from Recruitment in Anticipation of a Departure Within a Year the establishment where he wishes to practise and conduct his research. Even when an establishment’s PEM is full, a compliance notice may be The position will be then be recognized by the Ministry as being outside issued for a recruitment in anticipation of the departure of a physician the PREM, for the purposes of hiring other candidates in the department. who has provided written notice of his intention to cease practising in Examples include those with an exclusive, full-time practice in palliative the establishment and whose resignation will take effect in one year. care or intra-operative assistance, and research fellows who have signed But the recruited physician may commence his duties only six months on to the Memorandum of agreement concerning the establishment prior to the date of the incumbent physician’s departure. of special pay terms and conditions for research scientists (Protocole d’accord concernant la mise en place de modalités de rémunération Temporary Replacement particulière pour les chercheurs-boursiers). The purpose of a temporary replacement is to enable a doctor to take In the event of a change in the career of a research scientist who has on the clinical and administrative duties of another physician who holds signed on to the Memorandum of agreement for research scientists, a PEM, who has to take time away from his or her position (illness, sab- he will be able to stay in his facility, even if he withdraws from the batical leave, maternity, etc.). This position is not a permanent position Memorandum of agreement. He will then be considered surplus to the for the replacing doctor, who loses his privileges when the replacement PEM, which will be rectified when a colleague in that specialty leaves. terminates. It is also possible in an emergency to obtain authorization The same rule applies to those with an exclusive practice in palliative to practise in an establishment without a position in the PEM. But this care or intra-operative assistance. For further details, please consult the measure is valid only for a maximum of three months, and cannot management rules for physician resource plans (PEMs) in specialties on be renewed, barring exceptional circumstances determined by the the Ministry site. Searching for PREM en spécialité on the Internet will establishment and accepted by the MSSS. take you to the appropriate page.

Network Positions Returning From the Regions (Three-Year Rule) Some agreements allowing for the addition of positions are associated After three years’ continuous practice in a remote or isolated region, a with a network position. These positions can be used for the recruitment physician cannot be refused entry to another region on the grounds that of a specialist physician in the establishment holding the position or for the region’s PREM or establishments’ PEMs are full. Nevertheless, if he the recruitment of a specialist physician in another establishment, i.e., wishes to obtain a position in a university hospital, he will have to meet an optional network position, conditional upon the signing of a service the fellowship requirements and receive the agreement of the region’s agreement between two establishments. Some establishments have medical faculty. A physician taking advantage of this rule will be able to a mandatory network PEM position. These positions are generated when do so once only, within no more than 12 months from the date on which a service corridor is established permanently between two establishments. he left the establishment in the regions. To obtain a position in a new region, the physician will first have to fill the positions available in the PEMs of the new region where he will be setting up in practice. If all the PEMs in his discipline are full, he will receive a list of five establishments determined according to Ministry priorities, from among which he may choose. In such cases, the MSSS may authorize the PEM of the establishment concerned to be temporarily exceeded.

FALL 2018 | 11 Guide to Practice 2018-2019

Recruitment via Waiver Practising Exclusively When an establishment’s needs warrant, the Director of Professional Services in a Private Office may ask for its physician resource plan (PEM) to be temporarily exceeded via Practising in private offices in specialties other than family medicine is not waiver. A PEM waiver is an exceptional measure, and requests to that effect governed by PEMs for the moment. Doctors wishing to practise exclusively in have to meet strict criteria: candidate’s specific expertise; volume of activity; an office have no steps to take with respect to obtaining a PEM position. waiting lists; development (addition of equipment); stabilization of teams But this does not prevent them from billing the Quebec Health Insurance (age of practising physicians); establishment of a service agreement; and, in Board (RAMQ). At issue here is working in a private office, and not opting out rare cases, humanitarian reasons. The waiver confers a permanent position from RAMQ. This option affects a limited number of specialities, though, on the candidate. The PEM will then be exceeded, and the next departure in including dermatology, psychiatry, and rheumatology. the specialty concerned will not be replaced. Waiver applications are reviewed by members of the Physician resource management committee for specialties (COGEMS), which brings together the Fédération des médecins spécialistes HELPFUL TIP: BEWARE OF PROMISES du Québec (FMSQ) and the Ministry of Health and Social Services (MSSS). Do not count on promises of positions from your staff The Fédération des médecins résidents du Québec (FMRQ) also sits on the physicians or department heads. Even if these are made in COGEMS as an observer. good faith, if there is no PEM available, you will not have access to the positions sought. WATCH OUT FOR VIRTUAL PREMs If you come across any virtual positions—positions available in the physician resource plan on the Ministry site which an HOW TO CHOOSE A PRACTICE LOCATION establishment tells you have been filled or there is no inten- Professional interests tion of filling—we advise you to take the following steps: • Type of practice sought 1) Send in a formal appointment application anyway; • Availability of other professionals and technical platforms 2) Wait for the establishment’s response; • Existing care team (sharing of tasks, dynamics, philosophy) • Operating time and type of surgery granted 3) If the position is denied and the letter specifies for surgical disciplines that the establishment does not intend to recruit • Type of clientele served (needs) for the position allocated by the MSSS, get in • Hospital obligations and privileges touch with the FMRQ so we can investigate • Career sought (academic or other) the situation and lobby the Ministry to have • Time allowed and recognized for research, the position moved. where sought • Responsibility for teaching Personal interests WATCH OUT FOR “PROFESSIONAL SUICIDE” PREMs • Social and cultural life Some positions are located in regions where practice in a given • Quality of life specialty is limited owing to the quantity and diversity of cases, • Access to schools for children or because the physician will have to practise solo. These positions • Distance from family are seen as leading to professional suicide, since they could • Part-time schedule make it impossible for the doctor to return to practise in another setting owing to loss of expertise, which is known to occur quite rapidly in medicine, depending on the conditions. In such cases, the FMRQ recommends that service corridors (network positions) be established instead, to enable candidates for these positions to maintain their knowledge and technical abilities while sharing responsibility for delivering care with other physicians in the department of the partner hospital.

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Extensions of Training/Fellowships in Quebec FELLOWSHIPS IN NON-FM SPECIALTIES—IN BRIEF • Complete the fellowship application form; To Obtain a Position in a University Setting • Before having the form signed, email it to the person To obtain a position in a university setting, a fellowship of 3-12 months’ responsible in the office of the faculty’s Associate Dean for duration is required. For any extension of training of one year or more Postgraduate Medical Education for validation and confirma- paid by RAMQ, you must apply to the faculty concerned, using a special form available on the medical faculty sites. The application must meet the tion that everything is complete and meets the requirements; requirements of the sought-after practice setting. You must also submit a • Once the form is validated, print it out and obtain letter from a director of professional services undertaking to host you for the required signatures; your fellowship, along with confirmation from the facility/establishment • In cases of applications for university or non-uni- that will be receiving you following your fellowship. versity recruitment, the MSSS requires that your PEM absolutely must be confirmed, and thatyour application Fellowships paid by RAMQ as of July 1, 2020 be accompanied by the letter of confirmation from For those planning a fellowship as of July 1, 2020, you should note that the the DSP for your recruitment and from the Board rules will be changing slightly next year. Fellowship applications will have to of Directors of the establishment recruiting you. be sent to the Office of the Associate Dean in the fall (date to be determined Otherwise your application will be rejected; by the medical faculties). This will enable the associate deans, and then the • In the case of PEMs associated with the re- committee responsible for evaluating applications at the MSSS, to forward the tirement of a physician, a letter is required from the said results to candidates by the March 1 before the fellowship starts. physician confirming the effective date of his retirement; • When you have all the signatures, send the form IMPORTANT by email, in a single PDF file also containing the Your fellowship must be carried out in a facility in a university letter and other required documents; network other than the network where you will be • Any incomplete application will not be considered; practising. If you have obtained a position in the McGill University network, for instance, you will not be able to • Confirmation of your fellowship will be emailed to you perform your fellowship there. In the case of a fel- by the MSSS; lowship for recruitment in an establishment with • Upon receipt of this positive reply, you will be invited by a university designation, the faculty submitting the Office of the Associate Dean for Postgraduate Medical your application is the one where you will Education to complete your admission application online and, be recruited upon completion of that training. where applicable, to forward the documents required for your admission file. To Obtain a Position in a Non-university Setting Fellowships performed to obtain a position in a non-university setting TIMETABLE FOR FELLOWSHIP POSITION may be for less than 12 months . They must be supported APPLICATIONS 2018-2019 by a faculty of medicine, and the candidate must hold a position in • Deadline for submitting application to faculties: a PEM to be able to perform this training in Quebec. In the case February 1, 2019 of a fellowship for recruitment in a non-university setting, • Review of all applications by associate deans the faculty submitting the application is the one where for postgraduate medical education: February 2019 the candidate will be performing his training. • Publication of review results/Transmittal to MSSS: N.B. Training of less than six months’ duration does not To be confirmed require confirmation of a PEM. • Review of files by MSSS (8 weeks):March-April 2019 • Dissemination of results to candidates by MSSS via email: May 2019* * The MSSS undertakes to convey confirmation of fellowship positions to applicants eight weeks before said fellowships begin.

FALL 2018 | 13 Guide to Practice 2018-2019

Extension of Training FELLOWSHIPS NOT PAID BY RAMQ Any application for an extension of training other than for a fellowship must be addressed to the Office of the Associate Dean for Postgraduate Medical Doctors having performed their postgraduate education (residency) Education of the medical faculty where you intend to carry out your extension of in medicine in Quebec who do not obtain a fellowship position paid by training and, where applicable, to the home faculty of the hospital establishment RAMQ cannot perform a fellowship in Quebec, even if they could receive which will be recruiting you when this extension of training is completed. It is a bursary, or if they have the funds necessary to subsidize their training. not necessary to hold a PEM to be authorized to perform this training, but a These doctors will therefore have to perform their fellowships in place has to be available for you in line with the quotas imposed by the MSSS, another province, in the United States, or elsewhere. Note that the without exceeding the maximum number of positions authorized in each number of fellowships paid by the Ministry of Health and Social Ser- program, category and subcategory, as determined by the government order. vices is not necessarily equal to the number of positions in university Exceptions settings allocated the same year. So it is possible that, although you have obtained a position in an establishment’s physician resource Extensions of training involving the pursuit of enhanced skills in Emergency plan (PEM), you might have to perform your fellowship outside Medicine and Adult Critical Care Medicine, along with specialized training in Quebec if your application has been denied by the MSSS. pediatrics where the matching is ensured by CaRMS, are not subject to this procedure. In addition, no fellowships paid for by RAMQ may be performed in a private practice (clinic) setting in obstetrics-gynecology. To access the instructions and application form for extension of training, you may consult the following sites: University of Montreal Career in Research https://medpostdoc.umontreal.ca/etudiants/reglement-et-politiques/ poursuites-de-formation-et-demandes-de-formation-complementaires/ Clinician Investigator Program (RCPSC) Applications for admission to the Royal College of Physicians and Surgeons of McGill University Canada (RCPSC) Clinician Investigator Program do not require the DSP’s https://www.mcgill.ca/pgme/admissions/formation-complementaire signature or confirmation of a position in a PEM. But they are subject to a specific process, the rules for which vary slightly from one faculty Laval University to another. This program offers integrated, structured, rigorous research Contact the Advisor, Postgraduate Medical Education, training during residency, with a view to a career as a clinician investigator. Véronique Gagné-Bergeron, at [email protected] There are three possible streams or pathways: or [email protected] • Continuous training pathway, involving 24 months of continuous University of Sherbrooke research starting in the final year of the specialty program (R5 Contact Jean-François Duval, of the Office of the Associate Dean for for a 5-year program, R6 for a six-year program) and running Postgraduate Medical Education, at [email protected] for one year after the end of the specialty program; • Discontinuous training pathway, involving research distributed over The deadline for submitting your application is February 1 a 27-month period that can begin from the first year of residency, for the academic year starting the following July 1. for residents who already have an MSc or PhD; • Fractionated training pathway, involving 24 months of training in blocks of 3 months or more starting in the second or third year of residency, and one continuous 1 year block after the end of the specialty program.

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Research fields do not concern only the traditional aspects of clinical and Fonds de recherche du Québec – Santé (FRQS) laboratory-based biomedical research, but also cover such disciplines as Research Scientists economics, management, social science, and behavioural and information Research scientist positions are intended for specialist physicians signing science as they apply to health and disease. Medical residents success- on to the Memorandum of agreement concerning the establishment fully completing this program receive a Diploma of Specialized Studies of special pay terms and conditions for research scientists (Protocole (Diplôme d’études spécialisées) from the university and a Certificate d’accord concernant la mise en place de modalités de rémunération from the RCPSC. Candidates have to register in an MSc or PhD program particulière pour les chercheurs-boursiers). Any doctor wishing to perform to do this training, unless they have already obtained such a degree a fellowship to obtain such a position must hold a compliance notice in the past. Medical residents are paid normally during the specialty from the establishment where he wishes to practise. As soon as a doctor program and during the year of extended training. withdraws from the Memorandum of agreement, he must take a position available in his original specialty or subspecialty. If the PEM is full, he will Procedure be considered surplus to the PEM until the next departure of a physician • Complete the admission form for the Clinician Investigator Program; resource in the same specialty. • Forward the form and the required documents to the Office of the Associate Dean for Postgraduate Medical Education by the deadline (January 15 for the academic year beginning Fellowships Outside Quebec the following July 1); The MSSS does not fund fellowships outside Quebec. Candidates for • The documents will be sent on to the program concerned; that type of fellowship must obtain funding through their own devices (establishment where they will be training, hospital department where • The program admission committee will review the application, determine they intend to return to practise, foundations, bank loans, etc.). whether it grants an interview, and make its recommendation to the Nevertheless, to ensure that you have a position on your return, it is faculty, which notifies the candidate of the decision. preferable to obtain a compliance notice prior to your departure confirming Required documents for such a fellowship include a letter of intent, your integration in an establishment in Quebec. Otherwise, you cannot an application form for admission to the Clinician Investigator Program, be guaranteed a position on your return. a letter from the specialty program director, a letter from the professor Fellowships Elsewhere in Canada who undertakes to direct the candidate, a copy of the candidate’s up-to-date Canadian Common CV (CCV), and an official transcript Those planning to pursue further training in another province enjoy certain be- nefits. In some cases, their fellowship will be recognized by the Royal College of university courses taken, excluding the MD. of Physicians and Surgeons of Canada. Also, such training may be paid, either through non-taxable bursaries from the establishment or from funds IMPORTANT awarded by the fellowship director. It is also much easier to obtain a permit The terms and conditions presented here correspond to what is to practise in the province in question, owing to the recognition of the Royal posted on the University of Montreal medical faculty site. They College specialist certification across Canada. You can thus practise—perform largely represent what is required by all Quebec medical moonlighting—part-time, and that provides an additional source of funding. schools. We do, however, invite you to consult the Website Do make sure, though, that your training site knows about your moonlighting, or contact the Office of the Associate Dean for Postgra- to avoid any misunderstandings. Also, health insurance coverage for you and duate Medical Education of the faculty where you wish to your loved ones is much simpler to confirm, in view of the provincial health do this training to ensure that you follow the steps specific insurance programs that are recognized Canada-wide, and the school system is to each faculty. easily accessible for children. Fellowships in the United States To perform a fellowship in the United States, you must find out from the Medical Board (College of Physicians) of the state concerned what the requirements are for doctors from outside the United States. If you have to perform medical acts, you will also have to make sure you have the permit appropriate to this practice, and to obtain the malpractice insurance coverage that will enable you to practise without any concern.

FALL 2018 | 15 Guide to Practice 2018-2019

United States Medical Licensing Examination (USMLE) Other Aspects to Consider The basic exam you must pass to obtain a permit to practise medicine Permit to Practise and Malpractice Insurance in the United States, the USMLE can be required of doctors performing To deliver care in another jurisdiction, you will have to obtain a permit to further training in the U.S., but this is not mandatory in all states. practise. Contact the Medical Board or College of Physicians in the country For more information on the requirements concerning the exam, concerned, or the establishment, to find out the requirements in this consult the 2018 Bulletin of Information on the USMLE site at regard. You will also have to take out malpractice insurance coverage that https://www.usmle.org/pdfs/bulletin/2018bulletin.pdf meets the requirements of the state or country concerned. Unfortunately, the Canadian Medical Protective Association (CMPA) does not cover To find out the requirements for practising in the U.S. state where you medical acts performed outside Canada. The medical authorities in the will be performing your fellowship, you may get in touch with the Medical country or the establishment will be able to guide you in this regard. Board (College of Physicians) of the state concerned. Medical boards are listed on the Federation of State Medical Boards site at Health Insurance Coverage http://www.fsmb.org/policy/contacts Find out from the Quebec Health Insurance Board (RAMQ) whether you Fellowships in France will be covered during your stay abroad. Although RAMQ‘s coverage is inadequate, it is still necessary. To cover any additional costs, you can The procedure for performing a fellowship in France involves steps specific take out health insurance coverage on-site, through the department or to that country. Indeed, since the adoption of the Mutual Recognition establishment where you will be pursuing your training. They can usually Arrangement whereby physicians trained in France can come to practise include you in the insurance programs in effect for medical residents in Quebec and those trained in Quebec can obtain a permit to practise or staff physicians on-site, as applicable. in France, the terms and conditions for obtaining a permit for Quebec phy- sicians performing a fellowship in France have changed. A “notwithstan- Work Visa ding clause” specific to Quebec “students” has been adopted, enabling You will need a work visa in the country where you will be performing candidates to obtain a permit that allows them to perform diagnostic and your fellowship. The application procedure must be carried out in advance therapeutic medical acts and obtain malpractice insurance. The duration via the consulates concerned, as well. Also, if your spouse is to accompa- of this fellowship is usually one year. ny you on your fellowship, make sure he or she has a visa allowing him For further information, please consult the France Visas site at or her to stay there with you beyond the period allowed for a tourist— france-visas.gouv.fr/en_US/web/france-visas/salaried-employment six months in the U.S., for instance. You will also have to find out about under Internships/Associate intern doctor or pharmacist. You may also the rules concerning the possibility of you or your spouse working during get in touch directly with the Consulate General of France in Montreal, this visit. Some countries, such as the U.S., are very strict about this, by calling 514 878-4385, or by faxing an application to the Visa Section and a job that does not comply with the rules could lead to your expulsion at 514 878-6272. As a physician, you will also have to obtain your from the program—and from the country. temporary permit from the National Council of France’s Order of Physicians Home and Automobile Insurance (Conseil national de l’Ordre des médecins). For details, visit You will also have to insure your property in the host country. Check with www.conseil-national.medecin.fr/node/1499. your insurance company whether there are comparable firms in the host Fellowships in other countries country, or get in touch with SOGEMEC Assurances, who offer special As with the United States, we suggest you initiate matters quite far services in such cases. They can be reached at 514 350-5070 in advance if you want to perform a fellowship abroad. Each site has or 1 800 361-5303. different rules. Ideally, we suggest you visit, to meet ahead of time Driver’s Licence with the fellowship director and the team with whom you will have You will also have to obtain a driver’s licence from the jurisdiction where to work in the context of your further training. you will be pursuing your further training. You could be asked to pass a new driving test.

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Bank Account/Power of Attorney Financial Incentives on Entering You will need a bank account in Quebec to perform transactions toward Practice in Non-FM Specialties your host country, especially if your remuneration comes from Quebec Specialist physicians who choose to set up in remote and isolated regions and is paid directly into your account here. You are also advised to have their remuneration increased. Supplements are also offered for identify someone close to you to whom you will give power of attorney home call duty. In addition, professional development, retention, to manage some of your affairs in Quebec during that period. recognition, establishment and maintenance premiums are awarded Alternative Funding Sources by the Ministry. These vary depending on the location. The annual main- Funding sources for those pursuing further training outside Quebec tenance premium cannot exceed the amount of an annual bursary, and include the following: varies in line with the length of retention, the isolated area in question, and available regional budgets. Each establishment and maintenance • Training or research grants premium comes with the obligation for the physician to practise for one - Specialist physician associations in Quebec and Canada year in an area with an insufficient supply of physician resources. Some - Canadian Medical Association physicians receive additional benefits, such as annual remote area/isolation - Royal College of Physicians and Surgeons of Canada (RCPSC) bonuses depending on their personal situation—spouse, number of - Medical product and equipment companies children, etc.; home leave expenses, and moving expenses. - Specialist physician association foundations - Private medical foundations For further information on bursaries, premiums and bonuses for setting (particularly in connection with research) up in practice in non-FM specialties, a list of regions concerned and registration - Quebec health research fund forms, you may consult the MSSS site at www.msss.gouv.qc.ca/enregion, (Fonds de recherche du Québec – Santé, or FRQS) in the Specialist physician section, or get in touch with the Ministry’s - Hospitals hosting you (department, etc.) Physician resource branch (Direction de la main-d’œuvre médicale) - Canadian Institutes of Health Research (CIHR) at 418 266 -2985 or 1 888 708-0393. - Universities • Grants from the department to which you will be returning Isolated areas after your fellowship Specialist physicians at all times receive 145% of their basic • Bank loans remuneration for the services they provide, whether in a Some Further Tips context of roving, replacement or support, in an office and in an establishment in isolated areas defined as sectors 3, 4 • Obtain confirmation of your notice of appointment before you leave; and 5 in Appendix 20 of the Master Agreement, and at the • Plan visits ahead of time to the team where you hope Chibougamau health centre (Centre de santé de Chibougamau). to perform your fellowship; • Take steps to agree on funding sources available here and abroad; Remote areas • Acquire certified true copies of your diplomas and other academic A more advantageous increase over the basic remuneration documents. You must have passed the Medical Council of Canada is provided for specialist physicians who practise primarily in (LMCC Part 2) exam, and the U.S. equivalent (USMLE), an establishment on a regular, ongoing basis in the different as applicable; territories (as specified in Article 1.2.4 of Appendix 19 of the • Ensure you have an up-to-date passport, and obtain your visitor’s visa; FMSQ-MSSS Master Agreement). • Obtain your permit to practise from the country or U.S. state concerned; • Take out malpractice insurance consistent with the requirements of the further training site.

FALL 2018 | 17 No Région Rémunération différente des médecins spécialistes

• Ivujivik ✈ 01 Bas-Saint-Laurent 1 • Salluit ✈ Secteurs III, IV, V 145 % • Umiujaq 02 Saguenay–Lac-Saint-Jean ✈ Territoire 52 145 % • Kangiqsujuaq 03 Québec • Akulivik ✈ • Quaqtaq ✈ 04 Mauricie–Centre-du-Québec Territoire 42 130 %

• Puvirnituq ✈ BAIE D'UNGAVA 05 Estrie 2 Carte de la rémunération différente ✈ Territoire 3 125 % • Kangirsuk 06 Montréal-Centre Territoire 23 115 % des médecins spécialistes • Aupaluk ✈ 07 Outaouais ✈ • Inukjuak • Tasiujaq ✈ 08 Abitibi-Témiscamingue Guide toTe rritoirePractice 13 2018-2019107 % • Kangiqsualujjuaq ✈ Région éloignée ou isolée 09 Côte-Nord • Kuujjuaq ✈ 1. Le médecin spécialiste a droit à 145 % de la rémunération de base en tout 17 10 Nord-du-Québec temps pour les services fournis que ce soit dans un contexte d’itinérance, de support, de remplacement, en établissement ou en cabinet. 11 Gaspésie–Îles-de-la-Madeleine BAIE D'HUDSON • Umiujaq 2. Le médecin spécialiste reçoit cette majoration du traitement de base 12 Chaudière-Appalaches s’il exerce de façon principale dans ce territoire et pratique dans un Rémunération différente des médecins spécialistes No Région Rémunération différente des médecins spécialistes No Région établissement de façon régulière et continue. S’il ne rencontre pas ces • Kuujjuarapik ✈ • Whapmagoostui ✈ 13 Laval • Ivujivik ✈ 01 Bas-Saint-Laurent conditions, il reçoit 120Secteurs % de la III, rémunération IV, V1 de base en145 tout % temps • Ivujivik ✈ 01 Bas-Saint-Laurent• Whapmagoostui ✈ • Salluit ✈ 1 No Région • Salluit ✈ Secteurs III, IV, V 145 % 02 Saguenay–Lac-Saint-Jean pour les services qu’il fournit, que ce soit dans un contexte d’itinérance, • Poste-de-la-Baleine ✈ • Umiujaq 14 Lanaudière • Ivujivik ✈ 01 Bas-Saint-Laurent • Salluit ✈ 2 02 Saguenay–Lac-Saint-Jean • Kangiqsujuaq ✈ de support, de remplacement,Territoire en 5établissement02 ouSaguenay–Lac-Saint-Jean en cabinet.145 % • Umiujaq 03 Québec • Umiujaq 2 15 Laurentides • Kangiqsujuaq ✈ • Kangiqsujuaq ✈ • Akulivik ✈ Te✈rritoire 5 145 % 3. Le médecin spécialiste reçoit cette majoration03 Québecdu traitement de base 03 Québec • Schefferville • Quaqtaq ✈ 04 Mauricie–Centre-du-Québec • Akulivik ✈ 2 ✈ • QuaqtaqTe ✈rritoire 4 04 Mauricie–Centre-du-Québec130 % ✈ • Baie-James 16 Montérégie s’il exerce de façon principale dans ce territoire et pratique dans un • Akulivik • Puvirnituq ✈ BAIE D'UNGAVA 05 Estrie • Quaqtaq ✈ • Chisasibi ✈ • Puvirnituq ✈ 2 BAIE D'UNGAVA 05 Estrie BAIE-JAMES04 Mauricie–Centre-du-Québec Territoire 4 130 % établissement de façon• Kangirsuk régulière ✈ et2 continue. Carte de la rémunération différente ✈ Territoire 3 06 Montréal-Centre125 % • Kangirsuk 17 Nunavik 06 Montréal-Centre ✈ 10 Cette carte de rémunération• Aupaluk ✈ est présentée à titre07 Outaouaisillustratif seulement. • Puvirnituq ✈ BAIE D'UNGAVA 05 Estrie • Wemindji • Inukjuak ✈ 3 09 2 Carte de la rémunération• TasiujaqTe ✈rritoire 2 08 Abitibi-Témiscaminguedifférente115 % des médecins spécialistes ✈ Territoire 3 • Aupaluk 18✈ Terres-cries-de-la-Baie-James125 % 07 Outaouais Il faut se référer à l’annexe XII• Kangiqsualujjuaqde l’Entente ✈ générale pour les données • Kangirsuk • Kuujjuaq ✈ 09 Côte-Nord 06 Montréal-Centre • •Fermont Inukjuak ✈ officielles. • Eastmain ✈ • Tasiujaq ✈ 08 Abitibi-Témiscamingue 17 Territoire 13 10 Nord-du-Québec107 % 3 • Kangiqsualujjuaq ✈ des médecins spécialistes Région éloignée ou isolée Territoire 2 115 % 11 Gaspésie–Îles-de-la-Madeleine • Aupaluk ✈ 07 Outaouais 09 Côte-Nord BAIE D'HUDSON • Umiujaq • Waskaganish ✈ • Kuujjuaq ✈ 1. Le médecin spécialiste a droit à 145 %12 de Chaudière-Appalaches la rémunération de base en tout • Inukjuak ✈ ✈ • Waskaganish ✈ 173 10 Nord-du-Québec • Kuujjuarapik ✈ • Whapmagoostuitemps ✈ pour les services fournis que ce13 soit Laval dans un contexte d’itinérance, • Tasiujaq 08 Abitibi-Témiscamingue Territoire 1 107 % • Whapmagoostui ✈ • Kangiqsualujjuaq ✈ Région• Poste-de-la-Baleine ✈ deéloignée support, de remplacement, en établissement14ou Lanaudière ouisolée en cabinet. 11 Gaspésie–Îles-de-la-Madeleine BAIE D'HUDSON • Umiujaq 15 Laurentides 09 Côte-Nord 2. Le médecin• Scheffervillespécialiste ✈ reçoit cette majoration du traitement de base • Kuujjuaq ✈ • Baie-James ✈ 1. Le médecin spécialiste a droit à 145 % de la rémunération de base en tout12 Chaudière-Appalaches ✈ s’il exerce de façon principale dans16 ce Montérégie territoire et pratique dans un BAIE-JAMES • Chisasibi 10 Nord-du-Québec temps pour les services fournis que ce soit dans un contexte d’itinérance, 10 établissement de façon régulière et 17continue. Nunavik S’il ne rencontre pas ces 17 • Kuujjuarapik ✈ • Whapmagoostui ✈ 13 Laval • Wemindji ✈ conditions,09 il reçoit 120 % de la rémunération18 Terres-cries-de-la-Baie-James de base en tout temps de support,✈ de remplacement, en établissement ou en cabinet. • Fermont ✈ • Whapmagoostui • Eastmain ✈ 11 Gaspésie–Îles-de-la-Madeleine • Poste-de-la-Baleine ✈ 14 Lanaudière pour les services qu’il fournit, que ce soit dans un contexte d’itinérance, BAIE D'HUDSON • Umiujaq • Waskaganish ✈ • B 2. Le médecin spécialiste reçoit cette majoration du traitement de base ✈ de support, de remplacement, en établissement ou en cabinet. • Rivière Saint-Planc Sablon 15 Laurentides • Waskaganish • Vieux-F 12 Chaudière-Appalaches s’il exerce de façon principale dans • ceSchefferville territoire ✈ et pratique dans un 3. Le médecin spécialiste reçoit cette majoration du traitement de base ✈ ✈ ort aul • Baie-Jamesétablissement de façon régulière et continue. S’il ne rencontre pas 16ces Montérégie09 s’il exerce de façon principale dans ce territoire et pratique dans un • Kuujjuarapik ✈ • Whapmagoostui ✈ 13 Laval • Chisasibi ✈ BAIE-JAMES conditions, il reçoit 120 % de la rémunération de base en tout temps établissement de façon régulière et✈ continue. • Saint-A 17 Nunavik • Rivière• Saint-PB • Whapmagoostui ✈ • Mistissini e ugustin • Vieux-Fort lanc Sablon • Wemindji ✈ 10 Cette carte de rémunération est présentée à titre illustratif seulement. ✈ pour les services qu’il fournit, que ce soit dans un contexte d’itinérance, rr ean rre z ✈ aul • Poste-de-la-Baleine ✈ 14 Lanaudière (Baie-du-Poste) 09 18 Terres-cries-de-la-Baie-James Il faut se neréférerJ à l’annexe XII de l’Entente générale pour les données09 • La T ✈ • Saint-Augustin 10 de support, de remplacement, en établissement• Fermont ✈ ou en cabinet. nam Ton • Mistissini e abatièr ✈ é officielles.- (Baie-du-Poste) • Baie-des-M ✈ • Eastmain ✈ h ✈ nerr • La Tabatièr e Saint- nam e 15 Laurentides 10 ent ✈ -Ton • Baie-des-M 51 parallèle -au Saint-Pie hé • Tête-à-la-Bal ✈ e les e han-Beet ent e 51 parallèle • Schefferville ✈ 3. Le médecin spécialiste reçoit cette majoration du traitement de base Î liot e r -au e Saint-Jean out • Tête-à-la-Bal r an o re ohan-Beetz out ✈ g uan iè ons ons ✈ • Waskaganish iè iè Maliot iv • Aylmer-Sound • Baie-James Ma v v aine • R Rivièr eine i avre hq • Aylmer-SoundMingan Havre Saint-Pierre guanish ✈s’il exerce de façon principale dans ce territoire et pratique dans un m • Sept-Îles • • • • eine A • Harrington-Harbour 16 Montérégie • Waskaganish • R Ri Min uanish • Baie-J Pointe-Par • Matagami • Chibougamau ✈ H g aska • • NatasKhqéuangaska La Romaine • Chisasibi ✈ • • • • g • • • • Chev • Sept- •Waswanipi Baie-J A Pointe-Paratas é • Harrington-Harbour ery BAIE-JAMES établissement de façon régulière et continue. • Chapais • • N K a Ro• Port-Cartier ✈ • Matagami • Chibougamau ✈ 02 • L 17 Nunavik • Joutel • • • • Chev ✈ 10 Cette carte de rémunération est présentée à titre illustratif seulement. ery •Port-Menier ✈ Secteurs et territoires de rémunération • Wemindji 09 • Waswanipi • Chapais • Port-Cartier ✈ • Lebel-sur-Quévillon SECTEURS III, IV, V 18 Terres-cries-de-la-Baie-James Il faut se référer à l’annexe XII de l’Entente générale pour les données ✈ ÎLE D'ANTICOSTI 02 • La Sarre Voir l’énumération des secteurs au verso de cette carte. • Fermont ✈ • Joutel • Mistassini • Baie-Comeau ✈ ✈ officielles. • Macamic • Mont-Louis • B • Eastmain • Port-Menier ✈ • Dolbeau • Rivière Saint-P TERRITOIRE 5 • Amos • Betsiamites Secteurs• Grande-Vallée et territoires• Vieux-F delanc rémunérationSablon • Sainte-Anne-des-Monts • Rivière-au-Renard Région de l’Abitibi-Témiscamingue. • Murdochville ort ✈ Région de la Côte-Nord, à l’exception des localités du secteur III des territoires isolés. • Senneterre •Forestville ✈ aul • Waskaganish ✈ 09 • Matane • Gaspé • Rouyn-Noranda ✈ • • Les Escoumins Région de la Gaspésie–Îles-de-la-Madeleine. • Waskaganish ✈ • Lebel-sur-Quévillon • Malartic ✈ • Mont-Joli ✈ SECTEURS• Saint-III,A IV, V Localités des secteurs I et II qui ne sont pas comprises dans les territoires isolés précédents, • • • • Anse Saint-Jean✈ ✈ • Mistissini ÎLE D'ANTICOSTI• • Rimouski • Amqui 11 • Clova e ✈ • ugustin à l’exception du Centre de santé Chibougamau. • La Sarre •Val-d'Or ✈ Saint-Félicien • rr ean ✈ rre Tadoussac z • Chandler (Baie-du-Poste) Roberval J • • Causapscal Voir l’énumération des secteurs✈ au verso de cette carte. ne Alma • La T TERRITOIRE 4 • Mistassini ✈ •Parent nam Jonquière La Baie •Trois-Pistoles • Macamic 10 • Baie-Comeau 08 ✈ é -Ton • Baie-des-Mabatièr h Métabetchouan ✈ ✈ •Paspébiac Dans la région du Saguenay–Lac-Saint-Jean, le territoire du CLSC Maria-Chapdelaine. • Mont-Louis Saint- Chicoutimi 01 ent • Maria e ÎLES-DE-LA-MADELEINE 51e parallèle les -au e Saint-Pie han-Beet • Matapédia TERRITOIRE• Tête-à-la-Bal 5 Dans la région du Bas-Saint-Laurent, les territoires de CLSC de Cabano, Saint-Éleuthère, Rimouski- • Dolbeau Î •liot Casey re r an o out • Betsiamites • Grande-Vallée iè g • Rivière-du-Loup uan ons Neigette, La Mitis, Les Basques, Matane et La Matapédia. • Amos Ma • Sanmaur viè v aine • Ville-Marie i avre La Malbaie • Cabano hq • Aylmer-Sound eine Dans la région de l’Outaouais, les territoires de CLSC Pontiac et Des Forestiers. • Sainte-Anne-des-Monts • R La TuqueRi Min uanish aska m • Rivière-au-Renard• H • Saint-Pascal g Région de l’Abitibi-Témiscamingue. • Sept- • • • • Baie Baie-J A atas ég • Harrington-Harbour Dans la région des Laurentides, le territoire de CLSC Antoine-Labelle. • • • Notre-Dame Pointe-Par duN LacK a Ro • Cap-aux-Meules ✈ • Matagami • Chibougamau ✈ • Murdochville Saint-Paul • Pohénégamook• • L Dans la région de la Mauricie–Centre-du-Québec, le territoire de CLSC Haut-Saint-Maurice, à l’exception • Forestville • • • • • ChevRégion de la Côte-Nord, à l’exception des localités du secteur III des territoires isolés. • Senneterre ✈ 03 ery des localités de ce territoire comprises dans le secteur II. • Waswanipi • Gaspé c ✈ • La Pocatière ✈ • Chapais • Matane • Port-Cartier• Rivière• Saint-PBlanc Sablon 04 be • Rouyn-Noranda ✈ • • Témiscaming • Vieux-F • Qué Région de la Gaspésie–Îles-de-la-Madeleine.TERRITOIRE 3 • Les Escoumins02 Mont-Laurier • Montmagny • Joutel ✈ • Mont-Joli ✈ ort ✈ • Lévis Dans la région du Saguenay–Lac-Saint-Jean, les territoires de CLSC Domaine-du-Roy et Lac-Saint-Jean Est. • Malartic ✈ Localités des secteurs I et II qui ne sontDans lapas région ducomprises Bas-Saint-Laurent, dansles territoires les de CLSCterritoires de Kamouraska etisolés de Rivière-du-Loup. précédents, • • • • Anse Saint-Jean L'Annonciation aul • Port-Menier Secteurs et territoires de rémunération • 12 09 • • Rimouski • Amqui 11 • Shawinigan à l’exception du Centre de santé Chibougamau.TERRITOIRE 2 ✈ • Saint-A Maniwaki • 14 ✈ • Clova ✈ Tadoussac Dans la région du Saguenay–Lac-Saint-Jean, les territoires de CLSC Saguenay, Jonquière, Chicoutimi • Val-d'Or • Lebel-sur-QuévillonSaint-Félicien • ✈ 15• Chandler •Trois-Rivières ✈ SECTEURS III, IV, V • Mistissini Roberval e ✈ • Causapscal ugustin et Fjord Alma rr rre • Chapeau • Gracefield • ÎLE D'ANTICOSTI (Baie-du-Poste) • La Sarre ean z ✈ 04 VoTERRITOIREir l’énumération des 4secteurs au verso de cette carte.TERRITOIRE 1 neJonquièreJ La Baie • Trois-Pistoles • La T 07 Saint-André-Avellin Joliette • • Saint-Georges • Macamic• Parent • Mistassini • Baie-Fort CoulongeComeau • ✈ • Low • • Arthabaska Dans la région de la Mauricie–Centre-du-Québec, le territoire du CLSC Haut-Saint-Maurice. nam abatièr • Buckingham Saint-Jérôme• Mont-Louis 10 08 ✈ é Métabetchouan -Ton • Baie-des-M • Paspébiac • Sorel • Drummondville Dans la région du Saguenay–Lac-Saint-Jean, le territoire du CLSC Maria-Chapdelaine. h Chicoutimi • Dolbeau ✈ • Maria ✈ •Wakefield e TERRITOIRE 5 Dans la région de l’Outaouais, les territoires de CLSC Les Collines-de-l’Outaouais, Aylmer, Hull, • Amos Saint- ent • Betsiamites Shawvillee • • Gatineau • Grande-Vallée51 parallèle ÎLES-DE-LA-MADELEINE Gatineau, Vallée-de-la-Lièvre et Petite-Nation. -au e Saint-Pie 01 • Tête-à-la-Bal • Laval Îles liot e r han-Beet • Matapédia out Aylmer • •• Hul Sainte-Anne-des-Montsl ✈ DansRégion lade régionl’Abitibi-Témiscamingue. du Bas-Saint-Laurent, les territoires de CLSC de Cabano, Saint-Éleuthère, Rimouski- r an o uan ons • Montréal ✈ • Rivière-au-Renard Dans la région de Québec, les territoires de CLSC Charlevoix-Ouest et Charlevoix-Est. • Casey iè iè g aine Ma iv v avre hq • Aylmer-SoundLégende • Murdochville• Granby NeRégionigette, de la La Côte-Nord, Mitis, Lesà l’exception Basques, des Matane localités etduDans Lasecteur la régionMatapédia. IIIde Chaudière-Appalaches, des territoires les isolés. territoires de CLSC de Montmagny, L’Islet, Lotbinière, • R Ri • Rivière-du-Loup m • Forestville eine • Saint-Jean • Sherbrooke L’Amiante, La Nouvelle-Beauce, Robert-Cliche, Beauce-Sartigan et Lac-Etchemin. • Sanmaur• Senneterre Min H guanish aska • Gaspé ✈ • Ville-Marie • Sept- • • • • La Malbaie A g • Harrington-✈ AéroportHarbour • Matane Dans la région de la Montérégie, le territoire de CLSC Bas-Richelieu. • Rouyn-Noranda ✈ • Baie-J • Pointe-Par• atasCabanoé a Ro 16 DansRégion lade régionla Gaspésie–Îles-de-la-Madeleine. de l’Outaouais, les territoires de CLSC Pontiac et Des Forestiers. • Matagami La Tuque • N K L • Les EscouminsTraversier Dans la région de l’Estrie, le territoire CLSC Granit. • Chibougamau ✈ • Malartic • ✈ • • • • Chev • Mont-Joli ✈ Localités des secteurs I et II qui ne sont pas comprises dans les territoires isolés précédents, • Saint-Pascal• • • • • Anse Saint-Jean Baie • ery • Amqui 11 Dans la région des Laurentides, le territoire de CLSC Antoine-Labelle. • Waswanipi • Chapais • ✈ • Notre-Dame• du Lac ✈ • Rimouski ✈ à l’exception du Centre de santé Chibougamau. • Port-Cartier• Val-d'Or ✈ • Clova Saint-PaulSaint-Félicien • ✈ Tadoussac • Cap-aux-Meules • Roberval • Pohénégamook • Causapscal • Chandler Dans la région de la Mauricie–Centre-du-Québec, le territoire de CLSC Haut-Saint-Maurice, à l’exception 02 Alma • TERRITOIRE 4 • Joutel • Parent Jonquière La Baie • Trois-Pistoles des localités de ce territoire comprises dans le secteur II. 08 • Port-Menier03 ✈ ✈ Dans la région du Saguenay–Lac-Saint-Jean, le territoire du CLSC Maria-Chapdelaine. ec • La PocatièreMétabetchouan Secteurs et territoires de rémunération• Maria ✈ • Paspébiac 04 éb Chicoutimi 01 ÎLES-DE-LA-MADELEINE • Témiscaming • Qu • Matapédia DansTERRITOIRE la région du Bas-Saint-Laurent, 3 les territoires de CLSC de Cabano, Saint-Éleuthère, Rimouski- • Casey • Montmagny Neigette, La Mitis, Les Basques, Matane et La Matapédia. • Lebel-sur-Quévillon Mont-Laurier • Sanmaur • Rivière-du-LoupSECTEURS III, IV, V ✈ • Ville-Marie • Lévis La Malbaie • Cabano Dans lala région région de du l’Outaouais, Saguenay–Lac-Saint-Jean, les territoires de CLSC lesPontiac territoires et Des Forestiers.de CLSC Domaine-du-Roy et Lac-Saint-Jean Est. ÎLE D'ANTICOSTILa Tuque • • La Sarre • Saint-PascalVoir l’énumération des secteurs au verso de cette carte. L'Annonciation Baie • • Notre-Dame du Lac Dans la la région région des duLaurentides, Bas-Saint-Laurent, le territoire de lesCLSC territoires Antoine-Labelle. de CLSC de Kamouraska et de Rivière-du-Loup. • Macamic • Mistassini • Baie-Comeau ✈ Saint-Paul • Cap-aux-Meules ✈ • •Shawinigan Mont-Louis 12 • • Pohénégamook Dans la région de la Mauricie–Centre-du-Québec, le territoire de CLSC Haut-Saint-Maurice, à l’exception • Dolbeau 03 TERRITOIRE 5 desTERRITOIRE localités de ce territoire 2 comprises dans le secteur II. • Amos Maniwaki• •Betsiamites 14 • Grande-Vallée c ✈ • La Pocatière • Sainte-Anne-des-Monts 04 ébe • Témiscaming • Rivière-au-Renard • Qu Région de l’Abitibi-Témiscamingue. DansTERRITOIRE la région 3 du Saguenay–Lac-Saint-Jean, les territoires de CLSC Saguenay, Jonquière, Chicoutimi 15 • Trois-Rivières• Murdochville ✈ • Montmagny • Forestville Mont-Laurier Région de la Côte-Nord, à l’exception des localités du secteur III des territoires isolés. etDans Fjord la région du Saguenay–Lac-Saint-Jean, les territoires de CLSC Domaine-du-Roy et Lac-Saint-Jean Est. • Senneterre Chapeau • Gracefield • • Gaspé ✈ • Lévis • Matane L'Annonciation Région de la Gaspésie–Îles-de-la-Madeleine. Dans la région du Bas-Saint-Laurent, les territoires de CLSC de Kamouraska et de Rivière-du-Loup. • Rouyn-Noranda ✈ • • Les EscouminsSaint-André-Avellin 04 TERRITOIRE 1 ✈ 07 • Mont-Joli ✈ Joliette • • Saint-Georges• Shawinigan 12 • Malartic • •Fo Ansert Coulonge Saint-Jean • • Low • • Arthabaska Localités des secteurs I et II qui ne sont pas comprises dans les territoires isolés précédents, TERRITOIRE 2 • • Maniwaki • 14 Dans la région de la Mauricie–Centre-du-Québec, le territoire du CLSC Haut-Saint-Maurice. • • Buckingham• Rimouski •Saint-Jérôme Amqui 11 à l’exception du Centre de santé Chibougamau. Dans la région du Saguenay–Lac-Saint-Jean, les territoires de CLSC Saguenay, Jonquière, Chicoutimi • Clova ✈ • • Sorel • Drummondville15 • Trois-Rivières ✈ • Val-d'Or ✈ Saint-Félicien • ✈ Tadoussac • Wakefield Danset Fjord la région de l’Outaouais, les territoires de CLSC Les Collines-de-l’Outaouais, Aylmer, Hull, Roberval Shawville • • CausapscalChapeau • Gracefield • • Chandler Alma • • Gatineau TERRITOIRE 4 Gatineau, Vallée-de-la-Lièvre et Petite-Nation. Jonquière La Baie • Trois-Pistoles • Laval 04 TERRITOIRE 1 • Parent Aylmer • ✈ 07 Saint-André-Avellin Joliette • • Saint-Georges 08 • Hull Fort Coulonge • • Low • • Arthabaska Dans la région de Québec, les territoires de CLSC Charlevoix-Ouest et Charlevoix-Est. Métabetchouan • Montréal✈ ✈ • Paspébiac Dans la région du Saguenay–Lac-Saint-Jean, le territoire du CLSC Maria-Chapdelaine. Dans la région de la Mauricie–Centre-du-Québec, le territoire du CLSC Haut-Saint-Maurice. Chicoutimi • Maria • Buckingham Saint-Jérôme • Sorel ÎLES-DE-LA-MADELEINE Légende 01 • Matapédia • Granby• Wakefield • Drummondville Dans la région du Bas-Saint-Laurent, les territoires de CLSC de Cabano, Saint-Éleuthère, Rimouski- Dans lala région région de del’Outaouais, Chaudière-Appalaches, les territoires de CLSC les Lesterritoires Collines-de-l’Outaouais, de CLSC de Montmagny,Aylmer, Hull, L’Islet, Lotbinière, • Casey Shawville • • Gatineau Gatineau, Vallée-de-la-Lièvre et Petite-Nation. • Saint-Jean • Sherbrooke • Laval Neigette, La Mitis, Les Basques, Matane et La Matapédia. L’Amiante, La Nouvelle-Beauce, Robert-Cliche, Beauce-Sartigan et Lac-Etchemin. • Sanmaur • Rivière-du-Loup Aylmer • • Hull ✈ • Ville-Marie ✈ AéroportLa Malbaie • Cabano • Montréal ✈ Dans la région de l’Outaouais, les territoires de CLSC Pontiac et Des Forestiers. Dans la la région région de Québec,de la Montérégie,les territoires dele CLSCterritoire Charlevoix-Ouest de CLSC etBas-Richelieu. Charlevoix-Est. La Tuque • 16 • Granby Dans la région de Chaudière-Appalaches, les territoires de CLSC de Montmagny, L’Islet, Lotbinière, • Traversier Saint-Pascal Légende Dans la région de l’Estrie, le territoire CLSC Granit. Baie • • Notre-Dame du Lac • Saint-Jean • Sherbrooke Dans la région des Laurentides, le territoire de CLSC Antoine-Labelle. L’Amiante, La Nouvelle-Beauce, Robert-Cliche, Beauce-Sartigan et Lac-Etchemin. Saint-Paul ✈ Aéroport • Cap-aux-Meules ✈ Dans la région de la Montérégie, le territoire de CLSC Bas-Richelieu. • • Pohénégamook 16 Dans la région de la Mauricie–Centre-du-Québec, le territoire de CLSC Haut-Saint-Maurice, à l’exception 03 Traversier des localités de ce territoire comprises dans le secteur II. Dans la région de l’Estrie, le territoire CLSC Granit. c ✈ • La Pocatière 04 ébe • Témiscaming • Qu TERRITOIRE 3 Mont-Laurier • Montmagny • Lévis Dans la région du Saguenay–Lac-Saint-Jean, les territoires de CLSC Domaine-du-Roy et Lac-Saint-Jean Est. L'Annonciation Dans la région du Bas-Saint-Laurent, les territoires de CLSC de Kamouraska et de Rivière-du-Loup. • Shawinigan 12 TERRITOIRE 2 Maniwaki • 14 Dans la région du Saguenay–Lac-Saint-Jean, les territoires de CLSC Saguenay, Jonquière, Chicoutimi 15 ✈ PAY DIFFERENTIAL FOR SPECIALIST PHYSICIANS • Trois-Rivières et Fjord Chapeau • Gracefield • 04 07 Saint-André-Avellin Joliette • • Saint-Georges TERRITOIRE 1 Fort Coulonge • • Low • • Arthabaska Dans la région de la Mauricie–Centre-du-Québec, le territoire du CLSC Haut-Saint-Maurice. • Buckingham Saint-Jérôme • Sorel Sectors III, IV, V 145 % Territory 3 125 % • Wakefield • Drummondville Dans la région de l’Outaouais, les territoires de CLSC Les Collines-de-l’Outaouais, Aylmer, Hull, Shawville • • Gatineau Gatineau, Vallée-de-la-Lièvre et Petite-Nation. • Laval Aylmer • • Hull ✈ • Montréal ✈ Dans la région de Québec, les territoires de CLSC Charlevoix-Ouest et Charlevoix-Est. Légende • Granby Dans la régionTerritory de Chaudière-Appalaches, 5 145 les % territoires deTerritory CLSC de Montmagny, 2 L’Islet,115 Lotbinière, % • Saint-Jean • Sherbrooke L’Amiante, La Nouvelle-Beauce, Robert-Cliche, Beauce-Sartigan et Lac-Etchemin. ✈ Aéroport 16 Dans la région de la Montérégie, le territoire de CLSC Bas-Richelieu. Traversier Dans la régionTerritory de l’Estrie, 4 le territoire130 CLSC Granit. % Territory 1 107 %

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Practice Regular Permit Malpractice insurance If you are planning to complete your training on June 30 of the current • It is essential that you take out malpractice insurance at the start year, you must submit your permit to practise application to the Collège of practice. The insurance coverage you have during your residency des médecins du Québec no later than May 1 prior to the end of your terminates when you complete your training, but remains valid for residency. The Collège requires applications to be submitted early enough to any legal action associated with a medical act performed during ensure that it is able to issue permits to practise to all terminating residents your residency, for your entire career; for their start of practice on July 1. This application is completed online. • To do so, you must get in touch with the Canadian Medical Protective Association (CMPA) at www.cmpa-acpm.ca. Premiums Steps are established on the basis of your specialty and the region Permit to practise application (Quebec-Ontario-Other) where you will be practising. • Complete the form available at www.inscriptionmed.ca; Billing • Send the Collège all the documents required on the form, along with a cheque for the fee ($750 in 2018); • With regard to billing, you must register with the Quebec Health Insurance Board (RAMQ). When you have obtained your permit • Additional fees of $150 apply if you receive a second specialist number, the Collège will send that information to RAMQ, which will certificate (Internal Medicine + Cardiology), and if you hold a then send you a letter with a PIN (personal identification number) regular permit in family medicine and obtain a specialist certificate; that you will be able to use to register online for the Board’s fee • For further details, consult the Collège site at payment services. To complete your registration, you will also have www.cmq.org/page/en/pret-a-exercer.aspx to provide them with your malpractice insurance policy number. Registration on the Membership Roll For further information and to access the forms, go to the Collège site at • Your permit number will be emailed to you; www.cmq.org and click on To Obtain a Permit to Practise. You may also • When you have received it, complete the notice of assessment get in touch with Isabelle Desrochers in the Permits Section of the Collège form (First registration on the membership roll) available online at des médecins du Québec by calling 514 933-4253 or 1 888 MEDECIN, www1.cmq.org/login/index.aspx?lang=en; or emailing [email protected]. • Include payment (by cheque or credit card) in the amount of the For those deferring the start of their practice annual membership fee ($1,167 as at July 1, 2018). If the permit (fellowship or other) is requested after December 1, the annual fee is set at $597; You can obtain your regular permit to practise as soon as you complete • Your permit will be forwarded to you no less than one week before your postgraduate education, without registering on the membership roll the scheduled date of completion of your training; or paying your membership fee immediately, particularly if you intend • In the event you fail the exam, reimbursement of the payment to be outside Quebec and not to practise here. In that case, the only fees made for issuance of the permit will be made by the Collège; you will have to pay will be those associated with obtaining the permit • For any question concerning permits to practise from the Collège des to practise. The permit is paid for only once, at the start of practice. médecins du Québec, please email [email protected] or call 514-933-4253.

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Moonlighting ALDO-Quebec (mandatory training) Limited opportunities To obtain your permit, you also have to have attended a three-hour The restrictive permit–resident was abolished on December 12, 2014. ALDO-Quebec training session, given by the Collège des médecins du Moonlighting is now reserved for medical residents holding a first certifi- Québec, on the Legal, ethical and organizational aspects of medical practice cation, for which they can apply for a regular permit to practise. These in Quebec. This training is mandatory for all physicians wishing to practise in residents are R3s in family medicine, R5s in internal medicine and Quebec. Available in English and French, it can be taken at any time during pediatrics, and R6s and higher who have completed their residency residency. It is given twice a month, in the three university cities (Montreal, and are on fellowships. To obtain their regular permit to practise, eligible and Sherbrooke). The cost of this training is $80 (2018). medical residents should apply to the Permits Section of the Collège des For a list of dates and locations of ALDO-Quebec training sessions and to médecins du Québec. register for them, please visit the Collège site at www.cmq.org/home.aspx, click on Medical Studies and Permit Applications, then on Examinations, Medical residents holding a regular permit who take advantage of documents required and ALDO-Québec activities. You must register at least this opportunity can perform moonlighting in all Quebec establishments one month prior to the training activity, to avoid additional fees. whose PEMs are not full, but not in the establishment where they are on rotation at that time. This rule stems from the Act respecting health services IMPORTANT and social services, which stipulates that a physician may not hold more When you have received your regular permit to practise, than one status at a time in the same healthcare facility. Nevertheless, if you you must use only this practice number when you are are pursuing a fellowship and already have a PEM in a healthcare facility moonlighting. When you are on rotation, you use your in Quebec, you may perform moonlighting on your own PEM, provided registration number (R-XXX). this is in effect before your ultimate start-of-practice date.

Malpractice insurance In addition to the permit to practise, you must take out additional Certification exams malpractice insurance with the Canadian Medical Protective Association In family medicine (CMPA) www.cmpa-acpm.ca. You must also register with the Quebec For information concerning family medicine exam dates and fees, consult Health Insurance Board (RAMQ), which you will bill for medical the College of Family Physicians of Canada (CFPC) site at www.cfpc.ca acts performed and other charges, in line with the tariffs in effect for under Education/Exam Information. physicians in your specialty. For further information on establishments’ needs, consult the site of the provincial Centre national Médecins-Québec (CNMQ) or contact the Fédération des médecins omnipraticiens du In other specialties Québec at 514 878-1911 or 1 800 361-8499, if you are a family To find out the deadlines for registration for non-FM specialty exams physician, to obtain information concerning locums, or the Fédération des and for forwarding your preliminary applications for assessment or an médecins spécialistes du Québec, if you are certified in another specialty, application for a final assessment, visit the Royal College of Physicians for information on the Substitute Bank by calling 514 350-5037 or and Surgeons of Canada (RCPSC) site at www.royalcollege.ca/rcsite/ 1 800 561-0703. credentials-exams-e. First, you will have to submit to the RCPSC an application for assessment of your postgraduate education. To do so, you must contact the Royal College Credentials Unit at least one year before sitting the exams. Submit your application well before the deadline for your specialty, so as to avoid late payment fees. The assessment usually takes six months, but can take longer, and there are fees associated with it. Visit the Royal College site at www.royalcollege.ca and click on Examinations/Exam registration: instructions and information.

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Candidates requiring exam accommodation Maintenance of proficiency Accommodations will be granted on an individual basis and depend Since July 1, 2007, Quebec physicians have been required to choose one on the nature and extent of the special requirement, documentation of the continuing professional development (CPD) programs available to provided, and the requirements of the examination, provided that they them. The Collège des médecins du Québec has set up a self-management do not jeopardize the validity of the exam and entail no constraint plan in that regard. It offers a user-friendly approach and accessible tools or excessive expenditure for the organization. on its site at www.cmq.org, under Professional Practices/Professional Applicants who require particular consideration at the examination development/Continuing professional development. Doctors have to must notify the Office of Specialty Education by January 13 for spring inform the Collège of their choice of CPD plan when they renew their specialty examinations or May 15 for fall subspecialty exams. annual membership. Once a year, the Collège will ask some 3% of its members to provide it with proof of enrolment in a CPD program. By the registration deadline, to have access to accommodations, candidates are required to provide the following documentation: • Specialist physicians can choose to sign up instead for the Royal College of Physicians and Surgeons of Canada plan on the RCPSC • A signed letter from the candidate with a description of the need site at www.royalcollege.ca, under Professional Development/ for accommodation and its severity, along with a description of the Maintenance of Certification (MOC) Program. required accommodation; • Family physicians can register in the College of Family Physicians • If the candidate has previously been provided accommodations by of Canada (CFPC) Continuing Professional Development program their university or other medical education programs, the candidate by accessing the College’s site at www.cfpc.ca/CPD. should provide documentation of the accommodations provided; • Supporting documentation from a qualified treating professional confirming the need for accommodation, its severity, the candidates’ Remuneration and billing functional limitations, and specific recommendations for the accom- Modes of remuneration modation. All supporting documentation must be provided on office Different modes of remuneration have been adopted in Quebec, both letterhead, from the candidate’s fully licensed practising physician, in family medicine and in other specialties: fee-for-service, fixed fee, clinical psychologist, or other appropriate licensed healthcare provider hourly rate, lump sum, per diem, mixed (fee-for-service + per diem), (the practitioner cannot be a relative or spouse of the candidate); and salary. There is also remuneration geared specifically to research • Written confirmation from a qualified professional that the candidates’ scientists in non-FM specialties. Normally, you will be subject to the functional limitations are still valid should the supporting documenta- remuneration mode in effect in the practice setting you have chosen. tion be more than two years old. For instance, salary is the mode in effect in CLSCs, while mixed remune- ration is seen in certain specialties, depending on the establishment. It is Pregnancy Late in Residency and Final Exams important for you to find out about the mode of remuneration in effect Maternity or paternity leave involves extending the residency program in the establishment or clinic you wish to be associated with, to ensure by a period of time equivalent to the duration of the leave. If you are that it suits you. able to plan the dates of your parental leave, we suggest you also bear in mind the specific rules of the Collège des médecins du Québec and the Canadian colleges concerning the exam dates for certification in family Registration with RAMQ medicine and other specialties. In order to receive this remuneration, you will have to register with the Quebec Health Insurance Board (RAMQ) as a new biller. When the Collège des médecins du Québec issues your permit to practise, you will TIME FRAME FOR SITTING EXAMS receive a message from RAMQ with a PIN (personal ID number) so you In family medicine, you are eligible to take the exam in the last can register with the RAMQ fee payment services. If you already hold a six months of your training. The exam is held twice a year. regular permit, you will have to modify your status so you can bill in your In other specialties, medical residents whose training is subspecialty. You can register or make these changes by completing the to end no later than February 28 may sit the certification French-only form available on the RAMQ site at www.ramq.gouv.qc.ca, exams the previous fall. Those completing their residency in the Services aux professionnels section. This registration is aimed at no later than December 31 can sit the certification exams confirming your practice location and your address for correspondence in the spring of that year. for payment purposes.

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Master Agreements Coverage for acts performed during residency The amounts allocated for family physicians and specialist physicians are We remind you that the malpractice insurance you had during your residency established on the basis of the Master Agreements between the Ministry will cover you for life for any medical act performed during residency for and the Fédération des médecins omnipraticiens du Québec (FMOQ) which legal action is taken against you in the future. Only complaints of an and Fédération des médecins spécialistes du Québec (FMSQ), respectively. administrative nature filed with the Collège des médecins du Québec or a You may consult the billing guide and all the associated letters of hospital are not covered by this insurance after the end of your residency. agreement on the RAMQ site: go to Professionnels, click on Médecins omnipraticiens or Médecins spécialistes, then on Facturation. CMPA retroactive coverage: not necessary The CMPA offers retroactive coverage to physicians at the start of their Billing agencies careers. But this covers the same medical acts as the FMRQ’s malpractice Most practising physicians call on the services of billing agencies to help insurance, for acts performed during your residency. So you do not need it them in this regard. A list of such agencies is available on the RAMQ site, to cover civil action occurring during your career for medical acts performed du- in the section reserved for professionals. ring your residency. None the less, if an administrative complaint is made to the establishment or the Collège des médecins du Québec, the FMRQ Research scientists in specialties does not cover these services. The CMPA offers retroactive coverage in this regard, but this covers only the services of consultants, and the CMPA Conditions of remuneration for research scientists in non-FM specialties assumes no responsibility for any financial penalties take into account the average annual remuneration in the research in such cases. scientist physicians’ specialties. This remuneration is equivalent to the percentage of time devoted to research (50% of time devoted to research = 50% of average annual remuneration in the specialty concerned). Incorporation The research scientist can also bill the Quebec Health Insurance Board Physicians wishing to incorporate their practice are subject to different rules (RAMQ) for clinical activities on a fee-for-service basis. But the total that are explained in the Guide on practising the medical profession within a remuneration that can be received by a physician for his clinical and partnership or company, available on the Collège site at www.cmq.org, research activities is limited to 110% of the average for his specialty. under Professional Practices/Managing My File/Incorporation/The For further details, contact the FMSQ by calling 514 350-5000 practice within a partnership or a company. But this guide does not cover or 1 800 561-0703, or emailing [email protected]. the accounting, legal and fiscal aspects in any depth, in view of the count- less situations that can arise. Incorporation offers two main advantages: Malpractice insurance tax deferral through a corporation, since the tax rate is beneficial on operating revenues; and income splitting, notably payment of a dividend Upon completion of your residency, you will cease to be covered by to the spouse and children 18 or over, leading to taxation in a lower the malpractice insurance included in the FMRQ’s collective agreement, bracket. For more information, contact the Professionals’ Financial and so you will have to take out coverage with another organization. Most ask to speak with one of the advisors dedicated to young professionals. physicians in Canada are covered by the Canadian Medical Protective They may be reached at one of the numbers below: Association (CMPA). You can register with the CMPA by telephone, fax or email. Registration procedures and forms along with a list of Montreal current tariffs for each specialty are to be found on the CMPA site at 514 350-5050 or 1 888 377-7337 www.cmpa-acpm.ca, under My Membership. We suggest you take steps Quebec City at least one month before the end of your postgraduate education, so 418 658-4244 or 1 800 720-4244 as to make sure you are covered as soon as you start your autonomous Sherbrooke practice. Note that, while premiums are high, owing to the risk especially 819 564-0909 or 1 866 564-0909 in certain specialties, part of this cost is reimbursed by the Quebec Health Insurance Board (RAMQ) under clauses in the FMOQ and FMSQ Master Agreements.

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Life, health and disability insurance Financial services Your group insurance coverage with La Capitale Insurance as a medical The banking packages offered by RBC and Desjardins Group were spe- resident will be deactivated at midnight on your last day of residency. cially designed to meet your needs during residency, in a perspective of In order to comply with the Act respecting prescription drug insurance, continuity for the future. Those of you taking advantage of the package you are required thereafter to take out insurance coverage with for medical residents or any other benefit offered by these banking any organization or federation (FMOQ or FMSQ) offering a group institutions will be able to maintain those services or modify them. To do insurance plan for which you become eligible. so, you should contact your banking institution directly. But we offer you the possibility of applying for an extension of your For RBC, call 1 800 80-SANTE (1 800 807-2683), or consult the Web insurance with La Capitale Insurance until you obtain your permit to practise site: www.rbcroyalbank.com/commercial/health-care-prof or you leave on a fellowship, unless you are eligible as a dependant on your spouse’s insurance policy. To request an extension of your group For Desjardins Group, call 514 875-4266 or 1 877 875-1118, or insurance, please email Edyta Zaniewska at [email protected], consult their Web site: www.desjardins.com/fmrq mentioning your family name and given name, your mailing address, and the exact dates for which you need an extension of coverage. The FMRQ Income tax will email this information to La Capitale Insurance, and the insurer will During residency, tax on your income was deducted at source by the bill you directly. Your premiums and insurance coverage remain the same employer. But during your first year of practice, you will receive pay from as those provided for in your contract during residency, except that you two different sources, owing to your change in status, with six months as will have to pay the employer’s share as well. an employee and six months self-employed. So you must plan on setting For specialist physicians, SOGEMEC Assurances offer a group drug aside an amount to cover the income tax for the second part of this first insurance program along with life insurance, disability insurance and year. In addition, new deductions will be added, for instance for books office overhead insurance, without proof of good health, if you take and scientific journals, participation in conferences, certification exam out coverage within 180 days after you receive your permit to practise. fees paid in the final year of training, and so on, and this could reduce For further information, call SOGEMEC Assurances at 514 350-5070 your total taxable income. In this context, we strongly advise you to call or 1 800 361-5303. Family physicians can take out group insurance upon an accountant, who will be able to advise you in this regard. through the FMOQ by calling 514 878-1911 or 1 800 361-8499. Post-residency maternity, paternity Automobile and home insurance and adoption leave Through our agreement with TD Insurance Meloche Monnex, you When you start out in practice, you will have access to a maternity leave enjoy beneficial group rates as well as high-quality home and automobile program with benefits through the FMOQ and the FMSQ. insurance products. These services can be maintained or modified to suit you once you have completed your residency. For further information, For family physicians call 514 284-1112 or 1 800 339-1847 or visit their site at Any family physician paid for all or part of his practice on a fee-for-ser- www.tdinsurance.com/melochemonnex vice, hourly-rate, fixed-fee or per-diem basis who has been practising for at least 20 weeks under the Quebec Health Insurance Plan for services delivered in Quebec and expects to give birth or adopt is eligible for up to 21 weeks’ maternity leave. Different conditions apply for doctors paid on a fixed honorarium. To find out more, you may consult the French-only FMOQ site at www.fmoq.org under Programme d’allocation de congés de maternité et d’adoption or the FMOQ Master Agreement on the Quebec Health Insurance Board (RAMQ) site at www.ramq.gouv.qc.ca, under Services aux professionnels/Médecins omnipraticiens, Brochure no 1/ Ententes particulières/Droits parentaux. You will find the information by clicking on the links for Appendix 16 and Appendix 6 of the FMOQ Master Agreement. If you have any other questions, call the FMOQ at 514 878-1911 or 1 800 361-8499.

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For specialist physicians Specialist physicians are entitled to a basic weekly allowance equivalent Since 2011, the FMSQ has offered a parental leave compensation pro- to 67% of their average weekly earnings from practice, up to a maximum gram. The doctor must have practised for a minimum of 10 weeks during of $2,400 per week. For specialist physicians with an active practice in a the 12 months prior to the start of the leave. The allowance payable private office, there is an additional weekly allowance equivalent to 33% applies for a maximum period of 12 weeks for maternity leave, and 6 of their average weekly earnings in the office. The maximum weekly weeks for adoption leave. For further information concerning the benefits allowance is $1,000. This does not apply to medical residents holding a offered to specialist physicians on the birth or adoption of a child, you valid R5 or higher training card who have a regular permit, since they are may get in touch with the FMSQ at 514 350-5003 or visit the French-only covered by the terms and conditions of the FMRQ’s collective agreement RAMQ site (Master Agreement/Brochure No. 1) to access Appendix 43, via the Quebec Parental Insurance Plan. Information on this topic is at www.ramq.gouv.qc.ca/fr/professionnels/medecins-specialistes/ provided on our Website at www.fmrq.qc.ca and is explained in detail in manuels/Pages/brochure-1.aspx the Interpretation Guide for the FMRQ-MSSS collective agreement.

Information Sources Quebec Career Day Ministry of Health The FMRQ holds its Quebec Career Day in October each year. All medical and Social Services Site residents are released to attend this medical employment fair, which Information on all positions in the regional physician resource plans brings together most Quebec healthcare establishments. Attendance (PREMs) is available on the Quebec Ministry of Health and Social Services at this event brings with it no financial penalty and does not affect the (MSSS) site, accessible via the FMRQ site at www.fmrq.qc.ca under validity of residents’ rotation (75%), in accordance with an agreement PEMs-PREMs in FM and PEMs in SP. The information on the MSSS reached with the Quebec Conference of Associate Deans for Postgraduate site is updated every two months or so. Medical Education. Fédération des médecins résidents Symposium on PREMs du Québec Site in Family Medicine All information about obtaining a position in Quebec may be found on the The Symposium on PREMs in Family Medicine has also become a tradi- FMRQ site at www.fmrq.qc.ca under PEMs-PREMs in FM and PEMs in SP. tion. This yearly gathering, usually held in the spring, is intended for R1s, to inform them about the procedures for obtaining a PREM or a PEM. Medical residents are released for this Federation-wide activity. Personalized Service From the FMRQ Medical residents seeking positions or looking for information about FMRQ Targeted Presentations positions available in Quebec and the process for obtaining a PEM or a PREM in their discipline may get in touch with the FMRQ directly by email in Non-FM Specialties or by calling 514 282-0256 or 1 800 465-0215. The FMRQ also offers presentations to medical residents in specialties For positions in family medicine, contact Geneviève Coiteux at other than family medicine in their training sites both on positions [email protected] available and on the procedures for obtaining a PEM. For information, For positions in other specialties, contact Johanne Carrier at contact Liliane Francoeur by calling 514 282-0256 or 1 800 465-0215, [email protected] or emailing [email protected]

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Canadian Regulatory Authorities Distributing Medical Licenses

Alberta New Brunswick College of Physicians and Surgeons of Alberta College of Physicians and Surgeons of New Brunswick 2700 - 10020 100 Street N.W. 1 Hampton Road, Suite 300 Edmonton, AB T5J 0N3 Rothesay, NB E2E 5K8 Tel. : 780-423-4764 Tel. : 506 849-5050 Tel. : 1 800 561-3899 Tel. : 1 800 667-4641 Fax : 780 420-0651 Fax : 506 849-5069 Email : [email protected] Email : [email protected] www.cpsa.ca www.cpsnb.org

British Columbia Nova Scotia College of Physicians and Surgeons of British Columbia College of Physicians and Surgeons of Nova Scotia 300 - 669 Howe Street Suite 5005 - 7071 Bayers Road Vancouver, BC V6C 0B4 Halifax, NS B3L 2C2 Canada Tel. : 604 733-7758 Tel. : 902 422-5823 Tel. : 1 800 461-3008 Tel. : 1 877 282-7767 Fax : 604 733-3503 Fax : 902 422-5035 Email : [email protected] Email : [email protected] www.cpsbc.ca www.cpsns.ns.ca

Prince Edward Island Nunavut College of Physicians and Surgeons of Prince Edward Island Department of Health and Social Services, 14 Paramount Drive Government of Nunavut Charlottetown, PE C1E 0C7 P.O. Box 1000 Station 200 Tel. : 902 566-3861 Iqaluit, Nunavut Fax : 902 566-3986 X0A 0H0 Email : [email protected] Tel. : 1 877 212-6438 www.cpspei.ca Email : [email protected] www.gov.nu.ca/health Manitoba College of Physicians and Surgeons of Manitoba Ontario 1000 - 1661 Portage Ave College of Physicians and Surgeons of Ontario Winnipeg, MB R3J 3T7 80 College Street Tel. : 204 774-4344 Toronto, ON M5G 2E2 Fax : 204 774-0750 Tel. : 416 967-2606 Email : [email protected] Tel. : 1 800 268-7096 ext. 617 www.cpsm.mb.ca Email : [email protected] www.cpso.on.ca

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Québec Northwest Territories Collège des médecins du Québec Department of Health and Social Services, Bureau 3500 Government of the Northwest Territories 1250, boulevard René-Lévesque Ouest Professional Licensing Montréal (Québec) H3B 0G2 5015 49th St. Tel. : 514 933-4441 P.O. Box 1320 Tel. : 1 888 MÉDECIN Yellowknife NT X1A 2L9 Fax : 514 933-3112 Tel. : 867 920-8058 Email : [email protected] Fax : 867 873-0484 www.cmq.org Email : [email protected] www.practicenorth.ca Saskatchewan College of Physicians and Surgeons of Saskatchewan Yukon 101 - 2174 Airport Drive Yukon Medical Council Saskatoon, Saskatchewan S7L 6M6 Box 2703 C-18 Tel. : 306 244-7355 Whitehorse, Yukon Y1A 2C6 Tel. : 1 800 667-1668 Tel. : 867 667-3774 Fax : 306 244-2600 (registrar) Fax : 867 393-6483 Email : [email protected] Email : [email protected] www.cps.sk.ca/imis www.yukonmedicalcouncil.ca

Newfoundland and Labrador College of Physicians and Surgeons of Newfoundland and Labrador 120 Tornbay Road, Suite W100 St. John’s, NL A1A 2G8 Tel. : 709 726-8546 Fax : 709 726-4725 E-mail : [email protected] www.cpsnl.ca

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Resources and Organizations Related to Medical Practice

Association canadienne de protection Fédération des médecins Groupe Fonds des professionnels médicale (ACPM) omnipraticiens du Québec (FMOQ) Professionals’ Fund Group Canadian Medical Protective 514 878-1911 ou 1 800 361-8499 Montréal Association (CMPA) [email protected] 514 350-5050 ou 1 800 377-7337 613 725-2000 ou 1-800-267-6522 www.fmoq.org Québec [email protected] 418 658-4244 ou 1 800 720-4244 www.cmpa-acpm.ca Fédération des médecins résidents Sherbrooke du Québec (FMRQ) 819 564-0909 ou 1 866 564-0909 Collège des médecins du Québec 514 282-0256 ou 1 800 465-0215 www.groupefdp.com (CMQ) [email protected] 514 933-4441 ou 1 888 633-3246 www.fmrq.qc.ca La Capitale Assurance [email protected] Mme Geneviève Coiteux, PREM/PEM en MF La Capitale Insurance www.cmq.org [email protected] 1 800 463-4856 Section des permis Mme Johanne Carrier, PEM Autres spécialités www.lacapitale.com 514 933-4253 ou 1 888 633-3246 [email protected] poste 4253 Ministère de la Santé et des Services Fédération des médecins spécialistes sociaux du Québec (MSSS) Collège des médecins de famille du Québec (FMSQ) Quebec Ministry of Health du Canada (CMFC) 514 350-5000 ou 1 800 561-0703 and Social Services College of Family Physicians [email protected] www.msss.gouv.qc.ca of Canada www.fmsq.org 905 629 0990 ou 1 800 387-6197 RBC www.cfpc.ca Fonds de la recherche du Québec - 1 800 769-2511 Santé (FRQS) www.rbcbanqueroyale.com/carriere-med Collège royal des médecins 514 873-2114 et chirurgiens du Canada (CRMCC) www.frqs.gouv.qc.ca Régie de l’assurance maladie Royal College of Physicians du Québec (RAMQ) and Surgeons of Canada (RCPSC) Groupe Desjardins Quebec Health Insurance Board 613 730-8177 ou 1 800 668-3740 514 522-4771 ou 1 877 522-4773 514 873-3480 ou 418 643-8210 www.royalcollege.ca/rcsite/about/help/ www.desjardins.com/fmrq ou 1 800 463-4776 contact-f www.ramq.gouv.qc.ca

Départements régionaux de médecine générale (DRMG) SOGEMEC Assurances www.fmoq.org/pratique/installation-en- 514 350-5070 ou 1 800 361-5303 pratique-informatisation/liste-des-chefs- www.sogemec.qc.ca de-drmg/ TD Assurance Meloche Monnex 1 877 777-7136 www.MelocheMonnex.com/fmrq

FALL 2018 | 27 Guide to Practice 2018-2019

List of DRMGs

CISSS du Bas-Saint-Laurent CIUSSS de la Capitale-Nationale CISSS de Montréal (région 06) (région 01) (région 03) Dr François Loubert Dr Éric Lavoie Dr Jacques Bouchard Chef du DRMG Chef du DRMG Chef du DRMG 1560, rue Sherbrooke Est, local H-3109 355, boul. Saint-Germain ouest 2915, avenue du Bourg-Royal Montréal (Québec) H2L 4M1 Rimouski (Québec) G5L 3N2 Québec QC G1C 3S2 [email protected] T : 418 724-5231, poste 504 T : 418 665-1713 *Pour toute question concernant les PREM veuillez (Mme Ginette Bergeron) [email protected] communiquer par courriel à l’adresse ci-dessus. F : 418 723-1597 T : 514 896-3459 À contacter en cas de questions concernant F : 514 593-2603 [email protected] les PREM : [email protected] Mme Céline Dufour CISSS de l’Outaouais (région 07) À contacter en cas de questions concernant Personne répondante au DRMG Dr Marcel Reny les PREM : T : 418 665-1713 Chef du DRMG Mme Chantal Descoteaux [email protected] 135, boulevard Saint-Raymond Responsable des dossiers PREM/ recrutement Gatineau (Québec) J8Y 6X7 T : 418 724-5231, poste 513 CISSS de la Mauricie [email protected] [email protected] et du Centre-du-Québec (région 04) Dr Pierre Martin À contacter en cas de questions concernant CISSS du Saguenay–Lac-Saint-Jean Chef du DRMG les PREM : (région 02) 155, rue Toupin Mme Édith Chartier Dr Roberto Boudreault Trois-Rivières (Québec) G8T 3Z8 Agente de planification, programmation Chef du DRMG [email protected] et recherche 930, rue Jacques-Cartier Est T : 819 966-6200, poste 3756 À contacter en cas de questions concernant [email protected] Chicoutimi (Québec) G7H 7K9 les PREM : T : 418 545-4980, poste 345 Mme Julie Millette CISSS de l’Abitibi-Témiscamingue F : 418 545-4718 Professionnelle au DRMG [email protected] (région 08) T : 819 370-2200, poste 3339 Dr Jean-Yves Boutet À contacter en cas de questions concernant [email protected] Chef du DRMG les PREM : [email protected] Mme Noémie Bédard CIUSSS de l’Estrie (région 05) Agente de planification, programmation Dre Raymonde Vaillancourt À contacter en cas de questions concernant et recherche Chef du DRMG les PREM : T : 418 545-4980, poste 436 Edifice Murray Mme Marie-Josée Leclerc [email protected] 500, rue Murray, CP 6 Technicienne en administration Sherbrooke (Québec) J1G 2K6 T : 819 764-3264, poste 49348 T : 819 346-1110, poste 27844 [email protected] F : 819 829-6278 [email protected] À contacter en cas de questions concernant les PREM : Mme Jellifa Denis Agente administrative pour le DRMG de l’Estrie T : 819 346-1110, poste 27887 [email protected]

28 | LE BULLETIN Guide to Practice 2018-2019

CISSS de la Côte-Nord (région 09) CISSS de Chaudière-Appalaches CISSS des Laurentides (région 15) Dr Roger Dubé (région 12) Dre Louise Gaudet Chef du DRMG Dr Normand Drolet Dre Christine Slythe 635, boul. Jolliet Chef du DRMG Chef du DRMG Baie-Comeau (Québec) G5C 1P1 Hôtel-Dieu de Lévis CLSC Ste-Thérèse-de-Blainville [email protected] 143, rue Wolfe, bureau 7757 125, rue Duquet À contacter en cas de questions concernant Lévis (Québec) G6V 3W6 Sainte-Thérèse (Québec) J7E 0A5 les PREM : [email protected] T : 450 433-2777, poste 65140 Mme Mélanie Raymond À contacter en cas de questions concernant [email protected] Direction des services professionnels et de les PREM : *Pour toute question concernant les PREM veuillez communiquer par courriel à l’adresse ci-dessus. l’enseignement universitaire Mme France Tanguay T : 418 962-9761, poste 2950 Responsable du dossier CISSS de la Montérégie (région 16) [email protected] T : 418 835-7121, poste 3103 Dr Michel Brodeur [email protected] Chef du DRMG Nord-du-Québec (région 10) 1255, rue Beauregard Dr Jean Lemoyne CISSS de Laval (région 13) Longueuil (Québec) J4K 2M3 Chef du DRMG Dr Jacques Blais e [email protected] 312, 3 rue Chef du DRMG [email protected] Chibougamau (Québec) G8P 1N5 800, boulevard Chomedey, TOUR A *Pour toute question concernant les PREM veuillez T : 418 748-3575 Laval (Québec) H7V 3Y4 communiquer par courriel à l’adresse ci-dessus F : 418 748-6739 [email protected] T : 450 928-6777, poste 14281 [email protected] À contacter en cas de questions concernant F : 450 679-6443 À contacter en cas de questions concernant les PREM : les PREM : Mme Sylvie Morin Régie régionale de santé et de services M Michel Taillefer Secrétaire au DRMG sociaux du Nunavik (région 17) Agent de planification T : 450 978-2121, poste 2018 Dre Geneviève Auclair T : 418 748-3575, poste 5108 F : 450 978-2100 Chef du DRMG [email protected] [email protected] Case postale 900 Kuujjuaq (Québec) J0M 1C0 CISSS de la Gaspésie et des CISSS de Lanaudière (région 14) Centre de santé Inuulitisivik Îles-de-la-Madeleine (région 11) Dr Harry-Max Prochette T : 819 988-2957 Dr Robert Benguerel Chef du DRMG [email protected] Chef de DRMG 260, rue Lavaltrie Sud À contacter en cas de questions concernant 215, boulevard York Ouest Joliette (Québec) J6E 5X7 les PREM : Gaspé (Québec) G4X 2W2 [email protected] Mme Marie-Claude René [email protected] À contacter en cas de questions concernant Conseillère cadre aux affaires médicales À contacter en cas de questions concernant les PREM : et à la santé physique les PREM : Mme Manon Hervieux [email protected] Mme Érika Gagné T : 450 759-1157, poste 4254 Agente de recrutement médical [email protected] CISSS Terres-Cries-de-la-Baie-James Direction des services professionnels CISSS (région 18) de la Gaspésie Dre Carole Laforest 50, rue du Belvédère Chef du DRMG Sainte-Anne-des-Monts, Qc, G4V 1X4 Case postale 250 T : 418 763-2261, poste 2524 Chisasibi (Québec) J0M 1E0 [email protected] T : 819 855-9001 F : 819 855-2098 C : 514 231-1462 [email protected]

FALL 2018 | 29 Guide to Practice 2018-2019

List of DPS’s

Région 01 – Bas-Saint-Laurent CIUSSS de la Capitale-Nationale CIUSSS du Centre-Ouest-de-l’Île-de-Montréal CISSS du Bas-Saint-Laurent 2915, avenue du Bourg-Royal 3755, chemin de la Côte Sainte-Catherine 355, boul. Saint-Germain Ouest Québec (QC) G1C 3S2 Bureau B-119, Montréal (QC) H3T 1E2 Rimouski (QC) G5L 3N2 Dr François Aumond Dre Louise Miner Dr Jean-Christophe Carvalho Secrétaire : Mme Mélanie Girard Secrétaire : Mme Mariana Cristescu 418 724-3000, poste 8491 Tél. : 418 663-5142 Tél. : 514 340-8222 x4800 [email protected] [email protected] [email protected] www.cisss-bsl.gouv.qc.ca www.ciusss-capitalenationale.gouv.qc.ca www.ciusss-centreouestmtl.gouv.qc.ca/accueil

Région 02 – Saguenay–Lac-Saint-Jean Région 04 CIUSSS du Centre-Sud-de-l’Île-de-Montréal CIUSSS du Saguenay–Lac-Saint-Jean – Mauricie-et-Centre-du-Québec 155, boulevard Saint-Joseph Est 930, rue Jacques-Cartier Est CIUSSS de la Mauricie-et-du-Centre-du-Québec Montréal (QC) H2T 1H4 Chicoutimi (QC) G7H 7K9 858, terrasse Turcotte Dre Julie Lajeunesse Dre Marlène Landry Trois-Rivières (QC) G9A 5C5 (Mme Sophie Allard x2314) Tél. : 418 541-1234, poste 2512 Dr Christian Vinette Tél. : 514 527-9565 x2363 [email protected] Secrétaire Mme Mélissa Daigle [email protected] [email protected] Tél. : 819 357-2030 x2787 [email protected] www.santesaglac.gouv.qc.ca [email protected] www.ciusss-centresudmtl.gouv.qc.ca/accueil [email protected] CIUSSS du Nord-de-l’Île-de-Montréal Région 03 – Capitale-Nationale www.ciusssmcq.ca 555, boulevard Gouin Ouest CHU de Québec – Université Laval Montréal (QC) H3L 1K5 11, côte du Palais - Aile des Remparts Région 05 – Estrie Québec (QC) G1R 2J6 CIUSSS de l’Estrie – Centre hospitalier Dre Josée Savoie Tél. : 514 338-2222 x3800 Dre Maryse Turcotte universitaire de Sherbrooke (CHUS) 500, rue Murray, Sherbrooke J1G 2K6 [email protected] Adjointe : Mme Suzanne Guay [email protected] Tél. : 418 691-5521 Dre Colette Bellavance www.ciusss-nordmtl.gouv.qc.ca/accueil [email protected] Secrétaire : Mme Mélanie Samson [email protected] Tél. : 819 822-7638 CIUSSS de l’Est-de-l’Île-de-Montréal www.chudequebec.ca/accueil.aspx Tél. : 819-346-1110 x22503 5415, boulevard de l’Assomption [email protected] Montréal (QC) H1T 2M4 Institut universitaire de cardiologie et de www.santeestrie.qc.ca/accueil pneumologie de Québec – Université Laval Dre Martine Leblanc 2725, chemin Sainte-Foy, Québec (QC) G1V 4G5 Tél. : 514 252-3453 Région 06 – Montréal [email protected] Dr Michel Laviolette CIUSSS de l’Ouest-de-l’Île-de-Montréal [email protected] Tél. : 418 656-4807 160, avenue Stillview www.ciusss-estmtl.gouv.qc.ca [email protected] Pointe-Claire (QC) H9R 2Y2 www.iucpq.qc.ca/en Dre Willine Rozefort Secrétaire : Mme Catherine Langis Tél. : 514 630-2225 x5267 [email protected] www.ciusss-ouestmtl.gouv.qc.ca/accueil

30 | LE BULLETIN Guide to Practice 2018-2019

Centre hospitalier de l’Université Région 07 – Outaouais CISSS des Îles de Montréal (CHUM) CISSS de l’Outaouais 430, chemin Principal 850, rue Saint-Denis, Bureau S06-256 135, boulevard St-Raymond Cap-aux-Meules (QC) G4T 1R9 Montréal (QC) H2X 0A9 Gatineau (Québec) J8Y 6X7 Dr Marcel Couture Dr Luigi Lepanto Dr Daniel Tardif Tél. : 418 986-2121 x8325 Tél. : 514 890-8003 Tél. : 819 966-6104 (Mme Josée Duguay) [email protected] [email protected] Tél. : 819 777-0073 [email protected] www.chumontreal.qc.ca [email protected] www.cisssdesiles.com www.cisss-outaouais.gouv.qc.ca Centre universitaire de santé McGill (CUSM) Région 12 – Chaudière-Appalaches e 2155, rue Guy, 14 étage Région 08 – Abitibi-Témiscamingue CISSS de Chaudière-Appalaches Montréal (QC) H3H 2R9 CISSS de l’Abitibi-Témiscamingue 363, route Cameron Dre Ewa Sidorowicz 3, 9e Rue, Rouyn-Noranda (QC) J9X 2A9 Sainte-Marie (QC) G6E 3E2 Tél. : 514 934-8087 Dre Annie Léger Dre Monique St-Pierre [email protected] Tél. : 819 764-3264 x49350 Adjointe : Mme Céline Grondin www.cusm.ca [email protected] Tél. : 418 835-7111 Centre hospitalier universitaire Sainte-Justine www.cisss-at.gouv.qc.ca [email protected] 3175, chemin de la Côte Sainte-Catherine www.cisss-ca.gouv.qc.ca/accueil Montréal (QC) H3T 1C5 Région 09 – Côte-Nord CISSS de la Côte-Nord Région 13 – Laval Dr Marc Girard 691, rue Jalbert, Baie-Comeau (QC) G5C 2A1 CISSS de Laval Secrétaire : Mme Micheline Dupont Dre Chantale Baril 1755, boulevard René-Laennec, Bureau 1.44 Tél. : 514 345-4673 Laval (QC) H7M 3L9 [email protected] Tél. : 418 589-9845 www.chusj.org [email protected] Dr Alain Turcotte [email protected] Tél. : 450 668-1010 x20200 Institut de Cardiologie de Montréal (ICM) www.cisss-cotenord.gouv.qc.ca/fr/accueil.html Tél. : 450 975-5588 (ligne direct) 5000, rue Bélanger Est Sophie Deneault Montréal (QC) H1T 1C8 Région 10 – Nord-du-Québec [email protected] Dr Pierre Pagé Centre régional de santé et de services www.lavalensante.com sociaux de la Baie-James Secrétaire : Mme France Thériault e Tél. : 514 376-3330 x2502 312, 3 Rue, Chibougamau (QC) G8P 1N5 Région 14 – Lanaudière [email protected] Dr Jean Lemoyne CISSS de Lanaudière www.icm-mhi.org/fr/institut-de-cardiologie- Adjointe : Jessica Caron 1000, boul. Ste-Anne de-montreal Tél. : 418 748-3575 x2480 Saint-Charles-Borromée (QC) J6E 6J2 [email protected] Dr Serge Bergeron Institut Philippe-Pinel de Montréal www.crsssbaiejames.gouv.qc.ca/1/ Secrétaire : Mme Manon Tremblay 10905, boulevard Henri-Bourassa Est accueil.crsssbaiejames Tél. : 450 759-8222 x2511 Montréal (QC) H1C 1H1 [email protected] Dr Gilles Chamberland Région 11 www.cisss-lanaudiere.gouv.qc.ca Secrétaire : Mme Guylaine Bouchard – Gaspésie-Îles-de-la-Madeleine Tél. : 514 648-8461 x523 CISSS de la Gaspésie [email protected] 215, boulevard de York Ouest [email protected] Gaspé (QC) G4X 2W2 www.pinel.qc.ca Dr Claude Mercier Tél. : 418 689-2261 [email protected] [email protected] www.cisss-gaspesie.gouv.qc.ca

FALL 2018 | 31 Guide to Practice 2018-2019

Région 15 – Laurentides CISSS de la Montérégie-Est Région 17 – Nunavik CISSS des Laurentides 2750, boulevard Laframboise Centre hospitalier Tulattavik de l’Ungava 290, rue De Montigny Sainte-Hyacinthe (QC) J2S 4Y8 901, Halutik, Kuujjuaq J0H 1C0 Saint-Jérôme (QC) J7Z 5T3 Dr André Simard Dre Nathalie Boulanger, médecin conseil Dre Louise Ayotte Secrétaire : Mme Johanne Lebouthiller Secrétaire : Mme Geneviève Gosselin Adjointe : Mme Danielle Binette Tél. : 450 468-8239 Tél. : 819 964-2905 x321 Tél. : 450 433-2777 x64176 andré[email protected] [email protected] [email protected] www.santeme.quebec [email protected] [email protected] www.sante.gouv.qc.ca/repertoire-ressources/ www.santelaurentides.gouv.qc.ca CISSS de la Montérégie-Ouest ressource/?nofiche=196 200, boulevard Brisebois Région 16 – Montérégie Châteauguay (QC) J6K 4W8 Région 18 CISSS de la Montérégie-Centre – Terres-Cries-de-la-Baie-James 3120, boulevard Taschereau Dr Paul Moïse Conseil Cri de la santé et des services Greenfield Park (QC) J4V 2H1 Secrétaire : Mme Chantal Godin Tél. : 450 699-2425, poste 4130 sociaux de la Baie-James Dr Jean Rodrigue [email protected] 20, Fort George, C.P. 250 Secrétaire : Mme Doris Pelletier www.santemo.quebec Chisasibi (QC) J0M 1E0 Tél. : 450 466-5407 Dr Francois Charrette [email protected] Cell. : 514 924-0619 www.santemc.quebec [email protected] [email protected] www.creehealth.org/fr/le-service-de- sant%C3%A9-des-terres-cries-de-la-baie-james

LOOKING FOR A PREM? WANT MORE INFORMATION ON MANAGEMENT RULES? Consult the Ministry site at www.msss.gouv.qc.ca/prem

Positions available in Family Medicine http://www.msss.gouv.qc.ca/sujets/organisation/medecine-au-quebec/medecine-de-famille/prem/postes-disponibles

Positions available in other specialties http://www.msss.gouv.qc.ca/professionnels/medecine-au-quebec/prem/postes-disponibles-medecine-specialisee/

If you are looking for information on PREMs, locums, fellowships or waivers, get in touch with the person responsible for physician resources in your Association, or with the FMRQ by calling 514 282-0256 or 1 800 465-0215, or emailing [email protected] or [email protected]

32 | LE BULLETIN Hôpital de Thetford Mines du CISSS de Chaudière-Appalaches Urgent besoin en psychiatrie

PARTICULARITÉS : • PEM de 4 postes, dont l’un d’eux est occupé par un médecin d’expérience, et un autre en voie de s'officialiser • 2 postes à combler dès maintenant • Lettre d’entente 102 en vigueur pour les médecins dépanneurs intéressés et pour les médecins établis (durée indéterminée) ACTIVITÉS : • Prise en charge lors de la réouverture de l’unité de soins (12 lits au permis) • Consultations à l’urgence • Consultations en liaison • Garde • Consultations externes • Hôpital désigné pour le médico-légal UNITÉ REFAITE À NEUF EN 2016 ! Réorganisation clinique et administrative en cours, orientée vers des soins d’excellence en psychiatrie. A titre informatif, l’Hôpital de Thetford Mines est situé à environ une heure de Sherbrooke et de Québec.

Personne à contacter : Mélanie Bernard, adjointe à la Direction des services professionnels CISSS de Chaudière-Appalaches – Hôpital de Thetford Mines, 1717, rue Notre-Dame Est Téléphone : 418 338-7777, poste 54583 • Courriel : [email protected]

Une pratique L’hôpital de Dolbeau-Mistassini est en dans Charlevoix période de recrutement ! Tu es résident en : vous intéresse ? – Médecine de famille – Chirurgie générale Le Centre intégré universitaire de santé et de – Anesthésie services sociaux de la Capitale-Nationale – Radiologie recherche activement des jeunes médecins en début de – Psychiatrie pratique pour l’installation « Hôpital de La Malbaie ». Une et tu recherches un emploi dans un milieu dynamique, pratique exclusive à l’urgence et/ou à l’hospitalisation est chaleureux et stimulant ? exceptionnellement disponible pour les candidats intéressés. Un minimum de quatre (4) postes sont à combler dès cet Alors ne cherche plus, l’Hôpital de Dolbeau- été et autant pour l’an prochain. Mistassini est l’endroit parfait pour toi ! La région de Charlevoix-Est, où est situé l’Hôpital de La Située dans la magnifique région du Saguenay-Lac- Malbaie, est particulièrement riche en activités récréatives St-Jean, la ville de Dolbeau-Mistassini saura te charmer et de plein air. Tout cela à 150 km de la région de Québec. sans aucun doute! Évidemment, la possibilité de faire de la prise en charge Tu y trouveras le parfait mélange de défis professionnels pourra s’ajouter progressivement par la suite, si désirée. variés propre à la pratique en région, que tu pourras concilier avec une vie personnelle et familiale épanouie. Si un de ces postes vous intéresse, veuillez communiquer sans tarder avec Mme Céline Dufour au 418 665-1713 Pour information : ou par courriel : Dre Emily Gagnon [email protected] 418-276-1234, poste 4801 [email protected] Médecine familiale Médecine familiale médecine spécialisée médecine spécialisée GASPÉSIE Psychiatrie adulte Gastroentérologie, gériatrie, Médecine interne Otorhinolaryngologie, psychiatrie adulte Médecine interne Hôital de Sainte-Anne-des-Monts Urgence 39 patients / 24 heures Hôital de Gaspé CLSC de GrandeVallée Courte durée 1167 admissions • 21 lits Urgence 46 patients / 24 heures Urgence 21 patients / 24 heures CHSLD 76 lits Courte durée 1998 admissions • 51 lits CLSC de Murdochville Neurologie CHSLD 98 lits Urgence 7 patients / 24 heures et rhumatologie

Médecine familiale Médecine familiale

Pour information : médecine spécialisée médecine spécialisée Érika Gagné Gynécologie-obstétrique Anesthésiologie, gériatrie, gynécologie-obstétrique Agente de recrutement médical Direction des services Médecine interne Médecine interne, pédopsychiatrie professionnels, CISSS de la Gaspésie Urologie Hôital de Maria CLSC de Paspéiac 418 763-2261 #2524 Urgence 51 patients/24 heures Urgence 43 patients / 24 heures 98 lits Hôital de Chandler CHSLD Courte durée 2908 admissions • 64 lits Erika.Gagne.cisssgaspesie Urgence 51 patients / 24 heures Rocher-Percé 62 lits @ssss.gouv.qc.ca Courte durée 2170 admissions • 47 lits USLD Chandler 36 lits CHSLD 185 lits New Carlisle 69 lits • Maria 95 lits • Matapédia 20 lits Un avantage profitable pour vous comme membre de la Fédération des médecins résidents du Québec.

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® / MC Marque(s) de commerce de Banque Royale du Canada. * La marge de crédit pour étudiant est offerte par la Banque Royale du Canada sous réserve de ses critères de prêt standard. La présente offre peut être modifi ée, retirée ou prolongée à tout moment, sans préavis. Elle ne peut être jumelée à d’autres réductions, offres ou promotions de taux. 1 Le taux préférentiel s’entend du taux d’intérêt annuel variable que nous annonçons de temps à autre comme taux de référence pour déterminer les taux d’intérêt sur les prêts commerciaux en dollars canadiens consentis au Canada. Le taux de la Marge de crédit Royale® pour étudiant indiqué peut changer selon les fl uctuations du taux préférentiel de la Banque Royale. Consultez le taux préférentiel de la Banque Royale en date de la présente offre. Le taux de la Marge de Crédit Royale pour étudiant ne peut dépasser le taux préférentiel actuel de plus de 0,25 %, selon le programme d’études. 116955 (07/2017)

99188_AD 116955_8.5x11_4C_Chantal.indd 1 2017-07-18 12:29 PM L’ultime offre pour les médecins résidents

Profitez de l’offre Exclusive : une offre financière adaptée à votre réalité.

Taux privilégiés, économies exceptionnelles et autres avantages. desjardins.com/fmrq OFFRE EXCLUSIVE AUX RÉSIDENTS

ÉPARGNER À LA FINANCIÈRE POURRAIT VOUS RAPPORTER GROS!

Adhérez à notre programme d’épargne périodique et obtenez jusqu’à 1200 $ en prime dans votre compte1!

De plus, obtenez gratuitement la production annuelle de votre rapport d’impôt par les experts de MultiD2!

COMMUNIQUEZ AVEC UN DE NOS CONSEILLERS MAINTENANT! 1 888 377-7337  [email protected]  fprofessionnels.com

1 La promotion est valable jusqu’au 31 décembre 2018. Elle est réservée aux résidents en médecine travaillant au Québec, qui sont de nouveaux clients de la Financière. Pour être admissible, le résident doit adhérer à un programme d’épargne à versement périodique pour un montant mensuel minimum de 25 $. La bonification de 200 $ est versée dans le compte de placements non-enregistré du client chez Financière des professionnels après l’adhésion au programme d’épargne à versement périodique. La bonification de 1000 $ est versée à la fin de la résidence dans le compte de placements non-enregistré du client si celui-ci a maintenu ses versements. 2 Le coût de la production annuelle du rapport d’impôt (valeur de 270 $) est pris en charge par Financière des professionnels et MultiD. Le client qui souhaite en profiter doit devenir client de MultiD. Exception : dans le cas des résidents au niveau du postdoctorat (fellow), le rabais offert sur la production du rapport d’impôt est de 370 $. MultiD est une marque déposée de Groupe Conseil MultiD inc. Financière des professionnels inc. détient la propriété exclusive de Financière des professionnels – Fonds d’investissement inc. et de Financière des professionnels – Gestion privée inc. Financière des professionnels – Fonds d’investissement inc. est un gestionnaire de portefeuille et un gestionnaire de fonds d’investissement qui gère les fonds de sa gamme de fonds et offre des services-conseils en planification financière. Financière des professionnels – Gestion privée inc. est un courtier en placement membre de l’Organisme canadien de réglementation du commerce des valeurs mobilières (OCRCVM) et du Fonds canadien de protection des épargnants (FCPE) qui offre des services de gestion de portefeuille. Apprenez à facturer et débutez votre pratique sans frais

6 mois GRATUITS* Formation incluse

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Chez Xacte, notre but est de vous faciliter la tâche. Voilà pourquoi nous mettons à votre disposition une équipe qui compte plus de 30 ans d’expérience pour vous guider et vous épauler.

Avec Xacte, vous effectuerez aisément vos premières factures tout en évitant les désagrémen ts de la RAMQ.

Visitez xacte.net/promo pour tous les détails concernant cette promotion réservée aux résidents finissants 2018

www.xacte.net/promo Sans frais: 1 855 799-2283 • [email protected] Suivez nous sur

* Pas de frais cachés. Aucun engagement ni obligation après les six mois gratuits. Offre réservée aux résidents finissants 2018. PLUS DE 80 INSTALLATIONS EN SANTÉ ET SERVICES SOCIAUX

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Le CISSS des Laurentides, c’est plus de 80 installations et une grande famille d’experts. Ici, le patient est profondément ancré au cœur de notre vision. Vous trouverez chez nous : • Une diversité de programmes et de départements • Une grande variété de milieux d’intervention • De la créativité et de l’innovation à souhait!

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PLUS DE 80 INSTALLATIONS EN SANTÉ ET SERVICES SOCIAUX Une révolution dans les communications médicales

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MedMobile_PromoFlyer_8.5x11.indd 1 2017-09-22 2:59 PM

Voici pourquoi les médecins résidents nous aiment

6 mois GRATUITS surVoici le forfaitpourquoi Élite les médecins résidents nous aiment OU 75 $ PAR MOIS POUR LA PREMIÈRE ANNÉE*

*Coût annuel de 900 $ au lieu de 1 995 $.

Faire le bon choix dès le départ pour sa facturation, c’est payant ! Voilà pourquoi plusieurs de vos col- lègues font confiance à Facturation.net. Mais avant tout, c’est parce qu’ils apprécient Découvrez plus notre accompagnement basé sur la proximité, d’avantages en ligne au la collaboration et la transparence. facturation.net APPRENDRE COMME UN RÉSIDENT, GAGNER COMME UN PROFESSIONNEL .

Pourquoi les patients Pourquoi les médecins nous aiment : nous aiment :

. 10 pédiatres . Consultation le jour-même avec des pédiatres affiliés à un hôpital ou une université . 25 médecins de famille spécialisés en pédiatrie . Réponses aux consultations le lendemain

. Visites d’urgence dans la même journée, . Dossier médical électronique sur rendez-vous, 7 jours par semaine . Centre de formation en pédiatrie pour le CUSM . De l’arrivée à la sortie les patients passent et l’Université de Montréal généralement moins de 45 minutes à la clinique . Orthophonie, physiothérapie, ergothérapie, psychologie (test d’autisme), nutritionnistes, . Tests d’allergie audiologie

. Désensibilisation / Immunothérapie : Nous acceptons les nouveaux patients pollens (arbre, herbe, herbe à poux), acariens, Suivi rapide et professionnel pour les patients présaisonniers (Pollenex, Suspal) provenant de l’urgence, des cliniques sous-spécialisées . Rendez-vous en ligne, 24 heures sur 24 et des services d’hospitalisation

. Laboratoire Fellowship de 3 mois en pédiatrie disponible

en partenariat avec . Pour médecine familiale . Vaccins . 400 000 $ / salaire annuel Positions disponibles : temps plein et temps partiel www.clubtinytots.ca/fellowship

Square Décarie Dollard-Des-Ormeaux 514-342-9911 514-685-3531 6900 boul. Décarie, Suite 3550 3400 rue du Marché, Suite 203 [email protected] [email protected] www.clubtinytots.ca www.tinytots.ca Stationnement gratuit Stationnement gratuit